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Letter to the Editor| Volume 19, ISSUE 10, P918-918.e1, October 2018

Baseline Rehospitalization Rates of Nursing Homes in Bundled Payments for Care Improvement

      The Bundled Payments for Care Improvement (BPCI) initiative was developed by the Center for Medicare and Medicaid Innovation with the goals of lowering health care expenditures while improving quality through enhanced coordination of services across different settings of care.
      • Centers for Medicare and Medicaid Services
      Bundled Payments for Care Improvement (BPCI) Initiative: General information.
      Participating organizations enter into contractual arrangements where a single reimbursement is made from Medicare that must be divided among all providers involved in an episode of care. However, participation in BPCI is voluntary, and it is possible that early participants were already high-performing providers. The objective of this study was to compare baseline 30-day rehospitalization rates of patients receiving post-acute care in nursing homes participating in BPCI to the rates in nursing homes that were not participating in the initiative. There are 4 BPCI models. We focused on Model 3—implemented in the last quarter of 2013—where episodes are initiated by the start of post-acute care following hospital discharge.
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      References

        • Centers for Medicare and Medicaid Services
        Bundled Payments for Care Improvement (BPCI) Initiative: General information.
        (Available at:)
      1. Shaping Long Term Care in America Project at Brown University funded in part by the National Institute on Aging (1P01AG027296).
        (Available at:)
        http://ltcfocus.org/
        Date accessed: January 5, 2018
        • Centers for Medicare and Medicaid Services
        Bundled Payments for Care Improvement (BPCI) Initiative: BPCI Model 3: Retrospective Post Acute Care Only.
        (Available at:)