What You Need to Know

  • You’ll be measured on all costs for a patient’s anchor stay + 90 days following discharge.
  • You’ll need to be thoughtful about the level of support your patients need post-discharge in order to optimize utilization of an appropriate care setting, e.g., LTACs, SNFs, and inpatient rehabs.
  • Making your patient’s total care after hospitalization of higher value and quality will help decrease costs associated with post-acute care.
  • Sending patients home when appropriate and feasible can improve physical recovery, long-term outcomes, overall satisfaction, and mental health for patients.
  • Medicare believes that for most bundles in BPCI-A, a patient should have to stay in a SNF no more than 14-22 days.
  • Medicare structured BPCI-A in such way that it’s a win-win situation for overall cost and patient outcomes.

Looking Into the Future

  • Commercial insurance plans will likely follow this trend and start introducing bundled payment systems.
  • Learning to be successful based on Medicare reimbursement levels will be critical for a hospital’s financial viability and sustainability

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