By Monica E. Oss "Episodes of care" are an increasingly common form of value-based reimbursement. The most widely known episode of care or bundled payment model is the Centers for Medicare & Medicaid Services (CMS) bundled rate initiative for Medicare, which pays for acute care hospital stays and related post-acute services through episodic payment mechanisms. Depending on the payment model, bundles include designated episode lengths of 30, 60, or 90 days related to a hospital stay (see Bundled Payments for Care Improvement (BPCI) Initiative: General Information). Humana recently expanded the availability of its Medicare Advantage value-based care bundled payment model for joint replacement to a…
Content Restricted

This article is reserved for members with an active membership. Please register for a Free Membership to view this resource.

Login to access The OPEN MINDS Circle Library. Not a member? Create your free account now!