Abstract
The Center for Medicare and Medicaid Innovation under the Centers for Medicare and
Medicaid Services has invited institutions to demonstrate ways to bundle services
into a 90-day episode of acute care that will lower costs and hospital re-admission
rates. While these goals are laudable, they overlook the need for and value attained
in postacute treatment. This article argues for elimination of the diagnosis of stroke
from the proposed demonstration project due to misaligned financial incentives that
will severely compromise patient outcomes.
Keywords
List of abbreviations:
BPCI (Bundled Payment for Care Improvement), BPCI-A (Bundled Payment for Care Improvement Advanced), CMS (Centers for Medicare and Medicaid Services), LOS (length of stay)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 26, 2018
Footnotes
Disclosures: Mark Ashley is the CEO of the Centre for Neuro Skills and Brent Masel is employed by the Centre for Neuro Skills. The Centre for Neuro Skills provides postacute care to stroke patients. The other authors have nothing to disclose.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
