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 cause doctors, nurses and specialized to perform coordinated care and forasmuch as reduce cost. Till date, hospitals, physicians, and other clinicians who bestow 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 sort during a single hospital stay, also termed as episode of care.
Doctors, hospitals and other healthcare providers can handle to participate in this program. It offers four models:
Model 1:
In this model, the episode of care would be certain as the inpatient stay in the general acute care hospital. Medicare will pay the hospital a discounted amount based on the payment rates hackneyed below the Inpatient Coming up Payment System ( IPPS ). Medicare will pay physicians separately for their services below the Medicare Physician Fee Diary. Hospitals and physicians will be permitted to share gains arising from better structure of care.
Model 2:
The proceeding of care would interject the inpatient stay and post - extreme care and would end, at the applicants option, either a minimum of 30, or 90 days after bring about; the battery would incorporate physicians services, care by a post - greatest provider, twin re - admissions, and other services proposed in the circumstance definition analogous as clinical laboratory services
Model 3:
The circumstance of care would occasion at end from the inpatient stay and would end no sooner than 30 days after finish.
In both Models 2 and 3, the clique would admit physicians services, care by a post - severe provider, compatible readmissions, and other services.
Model 4:
CMS would make a single, prospectively unwavering bundled payment to the hospital that would work in 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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