Question

WHAT IS BUNDLED PAYMENTS y HOSPITAL 30 DAY READMISSION RATES .

Answer 1

Ans) CMS defines a hospital readmission as "an admission to an acute care hospital within 30 days of discharge from the same or another acute care hospital." It uses an "all-cause" definition, meaning that the cause of the readmission does not need to be related to the cause of the initial hospitalization.

- Bundled payment is the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for clinically-defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient).

- Under the English NP4P policy, hospitals are not reimbursed for readmissions occurring within 30 days of discharge exceeding a locally set threshold. Exemptions from the policy include maternity and cancer.

- The standard benchmark used by the Centers for Medicare & Medicaid Services (CMS) is the 30-day readmission rate. Rates at the 80th percentile or lower are considered optimal by CMS. Patients transferred to another hospital for longer term care won't count as a readmission.

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