The CMS Innovation Center is seeking applications for four broadly defined models of care as part of its Bundled Payments for Care Improvement initiative, according to a press release.
The press release states that the four models of care are:
- Model 1 - The episode of care would be defined as the inpatient stay in the general acute care hospital.
- Model 2 - The episode of care would include the inpatient stay and post-acute care and would end, at the applicant’s option, either a minimum of 30 or 90 days after discharge.
- Model 3 - The episode of care would begin at discharge from the inpatient stay and would end no sooner than 30 days after discharge.
- Model 4 - Under Model 4, CMS would make a single, prospectively determined bundled payment to the hospital that would encompass all services furnished during the inpatient stay by the hospital, physicians and other practitioners.
Models 1 – 3 are retrospective models, where CMS and providers would set a target payment amount for a defined episode of care. Model 4 is a prospective model, where the bundle would be prospectively determined.
Click here for full details on each of the models, as well as a side by side comparison.