Mulvany Chad
Healthc Financ Manage. 2015 Aug;69(8):38-42.
To ensure they are well-positioned for an expansion by the Centers for Medicare & Medicaid Services of bundled payment, hospitals that are not participants in the Bundled Payments for Care Improvement initiative should take the following steps: Understand which organizations in their markets are already participating and which might participate. Understand care utilization patterns within their care delivery networks and how those patterns affect cost per episode. Identify high-quality, cost-efficient postacute care providers and begin collaborating with them to further improve outcomes. Educate discharging physicians about the impact that choices related to postacute settings have on both beneficiary out-of-pocket obligations and overall cost of care.
为确保在医疗保险和医疗补助服务中心推行捆绑支付扩展计划时处于有利地位，未参与“改善护理捆绑支付计划”的医院应采取以下步骤：了解其市场中哪些组织已经参与以及哪些可能参与。了解其护理服务网络内的护理使用模式以及这些模式如何影响每次诊疗的成本。识别高质量、成本效益高的急性后期护理提供者，并开始与他们合作以进一步改善治疗效果。向负责出院的医生说明与急性后期护理机构选择相关的决策对受益人的自付费用和总体护理成本的影响。
