Bundled Payment Initiative To Lower Healthcare Costs, Help Coordinate Care

Bundled Payment Initiative To Lower Healthcare Costs, Help Coordinate Care

A new program to aid and improve patient care while patients are in the hospital and after they are discharged has been announced by the U. S. department of Health and Human Services ( HHS ).
These initiatives will also motivate doctors, nurses and technical to perform coordinated care and in consequence reduce cost. Till date, hospitals, physicians, and other clinicians who grant care for beneficiaries bill are paid separately for their services by Medicare. However, with this initiative they can get bundled payments to treat a patient for specific medical predication during a single hospital stay, also termed as episode of care.
Doctors, hospitals and other healthcare providers can resort to to participate in this program. It offers four models:
Model 1:
In this model, the episode of care would be choice as the inpatient stay in the general acute care hospital. Medicare will pay the hospital a discounted amount based on the payment rates acknowledged beneath the Inpatient Final Payment System ( IPPS ). Medicare will pay physicians separately for their services beneath the Medicare Physician Remuneration Plan. Hospitals and physicians will be permitted to share gains arising from better assembling of care.
Model 2:
The shift of care would build in the inpatient stay and post - maximum care and would end, at the applicants option, either a minimum of 30, or 90 days after carry through; the batch would enter physicians services, care by a post - top provider, parallel re - admissions, and other services proposed in the shift definition congenerous as clinical laboratory services
Model 3:
The calamity of care would make at attain from the inpatient stay and would end no sooner than 30 days after do.
In both Models 2 and 3, the lot would entail physicians services, care by a post - sovereign provider, cognate readmissions, and other services.
Model 4:
CMS would make a single, prospectively solid bundled payment to the hospital that would insert all services furnished during the inpatient stay by the hospital, physicians and other practitioners. Physicians and other practitioners would propose no - pay claims to Medicare and would be paid by the hospital out of the bundled payment.
The final date for registration for model 1 is 21st October 2011; and for rest of the models is 15th Step, 2012.
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