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Medicine and Health Sciences

University of South Florida

Hospital finance

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A Study On The Efficacy Of The Medicare Bundled Payments For Care Improvement Initiative At A Large Community Hospital In The Southeast United States, Elizabeth E. Kerns Oct 2017

A Study On The Efficacy Of The Medicare Bundled Payments For Care Improvement Initiative At A Large Community Hospital In The Southeast United States, Elizabeth E. Kerns

USF Tampa Graduate Theses and Dissertations

In 2013, Medicare launched the Bundled Payments for Care Improvement (BPCI) Initiative which linked payments for multiple services for a complete episode of patient care. With this innovative reimbursement model, hospitals accepted fixed target payments for certain types of clinical diagnoses that were intended to support better care coordination and better outcomes for patients at lower cost to Medicare. This was one of many programs aimed at addressing the serious challenges facing United States healthcare, including costs that are skyrocketing to unsustainable levels and lack of coordination of care across venues.

Preliminary Medicare results showed that bundled payments might lead …