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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Form Approved OMB Exempt Bundled Payments for Care Improvement application model 1 Please complete the Bundled Payments

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What is bundled payments for care?

Bundled payments for care is a payment model where providers receive a single payment for all the services related to a particular episode of care or treatment. This includes all aspects of care, such as hospitalization, surgery, physician visits, and post-operative care.

Who is required to file bundled payments for care?

Healthcare providers and organizations that participate in bundled payment programs, as designated by the governing healthcare authorities, are required to file bundled payments for care. These can include hospitals, medical groups, accountable care organizations (ACOs), and other healthcare entities.

How to fill out bundled payments for care?

The process of filling out bundled payments for care may vary depending on the specific program or payer. Generally, providers need to collect and report relevant data related to the episode of care, such as diagnoses, procedures, patient outcomes, and costs. This information is then submitted through the designated reporting system or platform provided by the program or payer.

What is the purpose of bundled payments for care?

The purpose of bundled payments for care is to promote value-based care and improve coordination and efficiency in healthcare delivery. By bundling payments for a full episode of care, providers are incentivized to collaborate and streamline their services, leading to better quality outcomes and cost savings.

What information must be reported on bundled payments for care?

The specific information that must be reported on bundled payments for care can vary depending on the program or payer. However, it generally includes details about the patient, the episode of care, the services provided, diagnoses, procedures, costs, and patient outcomes. Providers should follow the reporting guidelines provided by the program or payer to ensure compliance.