decisionhealth Newsletters, Part B News - 2013 Issue 3 (March)
CMS’ bundled care initiative may have work for skilled physician practices
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Article Overview
This article explains the general structure of CMS’s Bundled Payments for Care Improvement initiative and describes how participating hospitals and health systems may look for physician, orthopedic, and post-acute care partners. It is relevant to physicians, practice managers, hospital leaders, and care coordination teams interested in bundled payment participation, episode-based care, and post-discharge collaboration.
Why This Topic Matters
The piece helps readers understand where bundled payment programs may create opportunities for physician practices and other providers to collaborate with hospitals. It also highlights the types of care coordination and post-acute involvement that may matter to organizations considering participation in CMS episode-based payment models.
Article Sections
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Health care reform
Introduces the bundled payment initiative and summarizes the CMS/CMMI program context. It outlines the general structure of the models involved and the broader care-coordination goals.
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Skills wanted
Describes the kinds of physician and post-acute care partners participating hospitals may seek. It focuses on the general qualities and collaboration areas mentioned by health system representatives.
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Not everyone needs help
Explains that some participants may already have established relationships, while others may still be open to additional partners. It discusses how opportunities may vary by market and by hospital model.
What You Will Learn
- How CMS’s bundled payment initiative is organized at a high level
- What kinds of providers hospitals may want to partner with
- Why post-discharge and post-acute coordination can matter in bundled care
- How participation opportunities may differ across hospitals and markets
Who Should Read This
- Physicians
- Physician practice managers
- Hospital administrators
- Care coordination teams
- Post-acute care providers
- Health care consultants
Codes Discussed
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