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The aim of BPCI initiatives focused on care improvement is to encompass all expenses related to an episode of clinical treatment, promoting more efficient and coordinated provision through bundled payments. Utilizing predictive analytics is crucial in controlling expenses while simultaneously advancing patient outcomes.
Key Takeaways Transitional Care Management (TCM) improves care coordination and significantly reduces hospital readmissions through a structured approach that encompasses patient follow-up and communication. Initiatives such as Project RED and BOOST augment care transitions by conducting follow-up calls with patients.
A CarePort report found that more patients prefer to receive post-acutecare at home instead of in nursing homes and SNFs. Reduce readmissions The CMS Hospital Readmissions Reduction Program reduces payments to acutecare facilities with a high 30-day readmission rate.
In bundled payment models, patient advocacy plays a pivotal role in improving care coordination, patientsatisfaction, and adherence to treatment plans. This blog explores how patient advocacy enhances care quality, addresses social determinants of health, and supports bundled payment success.
Care coordination aligns with the principles of value-based care , which aims to improve the quality, safety, efficiency, and effectiveness of health care while reducing costs and waste. It can help reduce unnecessary hospitalizations, readmissions, and ED visits and improve patient outcomes, satisfaction, and safety.
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