Potential Unintended Effects of Medicare’s Bundled Payments for Care Improvement Program
نویسندگان
چکیده
منابع مشابه
Bundled Payments for Care Improvement
BACKGROUND The Centers for Medicare and Medicaid Services Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative in 2011 as 1 strategy to encourage healthcare organizations and clinicians to improve healthcare delivery for patients, both when they are in the hospital and after they are discharged. Mercy Health Saint Mary's, a large urban academic medical center...
متن کاملThe Bundled Payments for Care Improvement Initiative.
The Affordable Care Act enters its fifth year firmly entrenched in our national consciousness. One method that has entered the vernacular for achieving cost savings is accountable care. There are other approaches that are less well known. The Bundled Payments for Care Improvement Initiative has the potential to significantly impact neurointerventionalists. We review that initiative here.
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The Patient Protection and Affordable Care Act contains a number of provision for improving the delivery of healthcare in the United States, among the most impactful of which may be the call for modifications in the packaging of and payment for care that is bundled into episodes. The move away from fee for service payment models to payment for coordinated care delivered as comprehensive episode...
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for harsh, simpleminded cuts set ting the stage for broadbased payment reform. Up until the early 1980s, Medicare reimbursed hospitals for costs incurred, sub ject to ceilings. The Tax Equity and Fiscal Responsibility Act of 1982 substantially tightened those limits, leaving hospitals with no upside — they could not earn a profit by reducing costs — and a growing downside for those whose co...
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H ealthcare spending currently accounts for approximately 18% of the Gross Domestic Product in the United States, up from 13% in 2000. Hospital reimbursement for total joint replacement (Diagnosis Related Group 470) represented the largest Diagnosis Related Group payment by the Centers for Medicare & Medicaid Services (CMS) to hospitals in 2008, accounting for 4.6% of payments [1]. In light of ...
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ژورنال
عنوان ژورنال: JAMA
سال: 2019
ISSN: 0098-7484
DOI: 10.1001/jama.2018.18158