Get Ready for Bundled Payments: They’re Coming Your Way.

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Abstract

The fact that the CMS is extending its three-year voluntary Bundled Payments for Care Improving pilot and has launched the mandatory bundled payment project, Comprehensive Care for Joint Replacement in 7 markets leads experts to conclude that bundled payments are here to stay and will be expanded. Bundled payments mean case managers need to manage the length of stay and choice of post-acute options more closely than ever before and make sure that patients receive the most cost-effective and efficient care to meet their individual needs. Even if their hospital isn't part of a bundled payment program, case managers should prepare for the future by cementing relationships with post-acute providers and analyzing the variability in cost of care and patient outcomes and identifying opportunities for improvement. Relationships with post-acute providers are critical and should go beyond getting to know the staff, and include sharing patient data.

为捆绑支付做好准备:它们正在向你走来。
事实上,CMS正在延长其为期三年的自愿医疗改善捆绑支付试点,并在7个市场启动了强制性捆绑支付项目,即关节置换综合护理,这使专家得出结论,捆绑支付将继续存在并将扩大。捆绑付款意味着病例管理人员需要比以往更密切地管理住院时间和急性后选择方案,并确保患者获得最具成本效益和最有效的护理,以满足其个人需求。即使他们的医院不是捆绑支付计划的一部分,病例管理人员也应该为未来做好准备,巩固与急性后提供者的关系,分析护理成本和患者结果的可变性,并确定改进的机会。与急性后提供者的关系至关重要,应该超越了解工作人员,并包括共享患者数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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