CMS Unveils 4 Bundled Payment Models
CMS said in a news release Thursday that 500 hospitals will participate at one level or another, although only 32, including St. Bernardine, 343-bed Community Hospital San Bernardino, and JFK, are opting for Model 1 when the program kicks off in April.
The Association of American Medical Colleges has 10 hospitals—from University of California San Francisco Medical Center to Albert Einstein Healthcare Network in Philadelphia—participating in Models 2 and 4.
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This effort necessitates hospitals and doctors "looking in depth at the current processes of care in the preadmission period, in admission period, in post-acute period in the primary care period and really evaluating, where's the waste, where's the inefficiency, where are the quality problems right now?" says Coleen Kivlahan, MD, the AAMC's Senior director of Health Care Affairs. "And where are we doing things that we don't really, have evidence base attached to those, and eliminate those."
The bundling models also requires that hospitals meet quality metrics and mortality statistics, to make sure that patients are better off, or at least no worse off than they were through the traditional payment model.
JFK's Oser says CMS' official bundled payment announcement extends a project his hospital has been doing for several years, and they've already realized what efforts seem to work.
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