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 actuate doctors, nurses and technical to perform coordinated care and for reduce cost. Till date, hospitals, physicians, and other clinicians who render 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 element during a single hospital stay, also termed as episode of care.
Doctors, hospitals and other healthcare providers can employ to participate in this program. It offers four models:
Model 1:
In this model, the episode of care would be earmarked as the inpatient stay in the general acute care hospital. Medicare will pay the hospital a discounted amount based on the payment rates familiar below the Inpatient Later Payment System ( IPPS ). Medicare will pay physicians separately for their services below the Medicare Physician Charge Timetable. Hospitals and physicians will be permitted to share gains arising from better configuration of care.
Model 2:
The phase of care would have the inpatient stay and post - top care and would end, at the applicants option, either a minimum of 30, or 90 days after earn; the band would contain physicians services, care by a post - maximal provider, homologous re - admissions, and other services proposed in the triumph definition analogous as clinical laboratory services
Model 3:
The phenomenon of care would eventuate at dispatch from the inpatient stay and would end no sooner than 30 days after accomplish.
In both Models 2 and 3, the formation would comprehend physicians services, care by a post - utmost provider, alike readmissions, and other services.
Model 4:
CMS would make a single, prospectively mean business bundled payment to the hospital that would hold all services furnished during the inpatient stay by the hospital, physicians and other practitioners. Physicians and other practitioners would charge 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 Tread, 2012.
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