Post-acute care providers can participate in two of the four models: Model 2, in which the episode of care includes the inpatient stay in an acute-care hospital and all related services during the episode, considered to end either a minimum of 30 and up to 90 days after discharge; and model 3, which involves episodes of care that are triggered by an acute-care hospital stay but begin at the initiation of post-acute care services with a participating skilled nursing facility, inpatient rehabilitation facility, long-term care hospital or home health agency.
According to Avalere Health Director Brian Fuller, post-acute care providers participating in the initiative will have the following three strategic advantages:
1. Data access. The BPCI opens the door to historic Medicare claims data for participating providers.
2. Risk-based payment experience. BPCI participants gain familiarity with risk-based reimbursement during the experimentation stage.
3. Market positioning. Providers taking part in the initiative have the opportunity to build relationships with hospitals and physicians, better positioning themselves in their markets.
More Articles on Bundled Payments:
5 Reasons to Participate in the CMS Bundled Payments for Care Improvement Initiative
DataGen Signs Contracts to Provide Support for BPCI
CMS Bundled Payment Program: Orthopedic & Spine Surgeons Have Another Chance to Enroll
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