Hospitals’ Control of Bundled Payments ‘One of the Biggest Threats’ to Post-Acute Success

Skilled Nursing News May 6, 2019
Maggie Flynn

Ever since the government came out with its most recent model for bundled payments, acute care has been in the driver’s seat.

Under the Bundled Payments for Care Improvement Advanced (BPCI Advanced) program, hospital providers and physician leaders are the only ones who can initiate episodes of care. The Centers for Medicare & Medicaid Services (CMS) provides a single reimbursement for providers along the continuum, but unlike previous iterations of the bundled payment program, SNFs can’t be episode initiators.

Still, many experts have argued that SNFs have opportunities under the program. Even though they can’t initiate episodes, they can still find opportunities to take on risk from the BPCI bundler, according to Brian Ellsworth, director of payment transformation at the...

Today's Sponsors

Today's Sponsor