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FREE PUBLICATIONS
  • Bundled Payment Update eNewsletter
  • MACRA MIPS/APM Update eNewsletter
  • Pay for Performance Update eNewsletter

RECENTLY FEATURED STORY
From September 19, 2018
Bundled Payment Update eNewsletter #113

Participation in a Voluntary Bundled Payment Program by Organizations Providing Care After an Acute Hospitalization
Spending on post–acute care (PAC), or care provided after a stay in an acute care hospital, is the largest driver of variation in total per capita Medicare spending.1 To address this, Medicare has targeted PAC spending in payment reforms such as Model 3 of Medicare's Bundled Payments for Care Improvement (BPCI) initiative, a voluntary bundled payment program. Model 3 participants receive a target price for 30-, 60-, or 90-day PAC episodes initiated in the 30 days after hospital discharge. Model 3 is risk-bearing: participating organizations spending less than the target price receive a portion of the savings; those spending more must pay Medicare some of the difference.2 Model 3 is unique because it targets PAC organizations as the lead organizations that bear the risk, rather than acute care hospitals. Eligible PAC organizations include skilled nursing facilities (SNFs), inpatient rehabilitation facilities, long-term care hospitals, physician group practices, and home health agencies. We describe risk-bearing participation in Medicare's BPCI Model 3 and factors associated with persistent risk-bearing participation by the largest group of organizations, SNFs.

(JAMA Network, July 24/31, 2018)


RECENTLY FEATURED VIDEO
From August 6, 2018
Pay for Performance eNewsletter #110

Alternative Payment Models in 2018 -- Is the Glass Half Full or Half Empty?

Francois de Brantes, MBA
Vice President and Director, Center for Value in Health Care, Altarum; Former Program Leader, Health Care Initiatives, GE Corporate Health Care, Newtown, CT


RECENTLY FEATURED RESOURCE
From September 12, 2018
MACRA MIPS/APM Update eNewsletter #29

How to Avoid a Penalty in 2018 MIPS Program

See a related story at Developing a 2018 MIPS Reporting Strategy to Avoid a Penalty


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