Bundled Payments & Episodes
Expert articles and analysis related to bundled payments & episodes.
AI Summary â Last 7 Days
Mandatory episodes are moving back to the foreground as providers prepare for CMSâ CJR-X model, with operational focus shifting to discharge planning, post-acute steerage, physician alignment, and downside-risk infrastructure needed to succeed in a compulsory orthopedic bundle under the Trump administrationâs CMS (Forvis Mazars). At the same time, scrutiny is growing around where episode accountability begins and ends: post-acute stakeholders are warning that Medicare quality measurement still misses the critical âmissing monthâ after discharge, while maternity stakeholders are debating whether dismantling global maternity billing improves transparency or simply raises unit costs and payer premiums (STAT). The through-line for ACOs and payer/provider VBC teams is that bundled payment strategy is becoming less about the index admission alone and more about managing longitudinal handoffs, coding/payment granularity, and financial exposure across the full recovery window.
Related Articles
CJR-X: How to Succeed in CMSâ Mandatory Bundled Payment Model
CJR-X: How to Succeed in CMSâ Mandatory Bundled Payment Model
CJR-X: How to Succeed in CMSâ Mandatory Bundled Payment Model  Forvis Mazars US
Opinion: Good riddance to bundled âglobalâ maternal care billing
New maternal billing codes should create a transparent system where both patients and clinicians can thrive, ACOG writes.
Good riddance to bundled âglobalâ maternal care billing
Good riddance to bundled âglobalâ maternal care billing  STAT
Opinion: New billing codes likely to raise maternity care costs
âThis change is likely to lead to only modest increases in total medical expenses. However, it coincides with many other factors raising health insurance premiums,â writes Jeff Levin-Scherz.
The missing month after discharge: Medicare stops measuring when recovery begins
The missing month after discharge: Medicare stops measuring when recovery begins  McKnight's Long-Term Care News
Bupa and Cleveland Clinic London launch valueâbased cardiac care pilot
Bupa and Cleveland Clinic London launch valueâbased cardiac care pilot  Health & Protection
Bupa and Cleveland Clinic London expand value-based care partnership into cardiac services
Bupa and Cleveland Clinic London expand value-based care partnership into cardiac services  LaingBuisson News
Cleveland Clinic London and Bupa Launch ValueâBased Cardiac Care Pilot
Cleveland Clinic London and Bupa Launch ValueâBased Cardiac Care Pilot  Cleveland Clinic Newsroom