tci_primary.jpg

A complete source for collaboration,
community and knowledge exchange.

Find videos, learning materials, case studies and tools designed to assist you in navigating the often-
complex process of implementing bundled payment programs in your local healthcare settings.

ABOUT US     RESOURCES     TEAM     EVENTS    WEBINARS     LOGIN

 


 

How ‘Home-to-Home Time’ Supports the Goals of Bundled Payments

Addressing the tendency of fee-for-service to promote more spending requires changing the metrics that motivate clinician behavior away from volume as a primary focus. The DRG system, an early example of bundled payment, represents an attempt to solve the problem by paying hospitals a set amount for each hospitalization. DRG-based reimbursement incentivizes hospitals to keep costs down by eliminating unnecessary services and by shortening length of stay (LOS). Indeed, in the 30 years following the introduction of the DRG system, average hospital LOS nearly halved, dropping from 10.0 days in 1983 to 5.1 days in 20131,2

This fix may have had unintended consequences. After adjusting their practices to discharge patients home as soon as it was safe to do so, some hospitals went a step further by transitioning sicker patients to SNFs rather than keeping those patients in-house until they could safely go home. Over the last three decades, the proportion of Medicare patients leaving a hospital who were discharged to a SNF quadrupled from 5% to 20%3,4. This shifting of days from the acute to the post-acute facility setting has several negative consequences: it adds an extra transition, increases the overall time that patients spend in facilities, and increases the cost to Medicare since SNFs are reimbursed by the day whereas hospitals are paid a lump sum for the patient stay. This last point is likely part of the reason that Medicare’s spending per hospital admission on combined inpatient and post-acute facility stays increased by nearly 10% from 2004 to 20115.

Read more


Remedy in the News

Remedy continues to be a strong advocate for the BPCI program and using bundled payment models as a path to healthcare transformation.>

CMS proposes changes to CJR: 6 key thoughts on what this means for orthopedic bundled payments
Becker's Spine Review | August 18, 2017

Is HHS’ Proposal to Scale Back Mandatory Bundled Payments a Step Back from Value-Based Care? Many Healthcare Experts Say No
Healthcare Informatics | August 18, 2017

Read more

Chris Garcia Named CEO of Remedy Partners

Remedy Partners, the nation’s leading bundled payment company, has named Chris Garcia its chief executive officer, effective July 12, 2017. Remedy is well-positioned for accelerated growth as the healthcare industry continues to adopt bundled payments as a core value-based payment strategy.

Read More


 

Patient Care, Care Redesign, Interoperability, Remedy Partners, Bundled Payments

Interoperability and Communicating with Episode Connect

When you deposit your paycheck, you expect your bank to process it. If you travel out of town, you count on being able to access your money from an ATM. But patients discharged from the hospital to a rehabilitation center or nursing home may not experience such a seamless transition of their healthcare information.

Read More

 

Industry Events

 

 

Get the Remedy Report

 

Glossary

Anchor Stay
The period of time between the admission date and the discharge date of an episode-initiating hospital stay for a patient.


View All

 

The full Transitional Care Institute site and reports are only available to partners.

Log In

ec-ad-tci-border.jpg


The full Transitional Care Institute site and reports are only available to partners.

Log In

Need a login? Request access to our private library.