This project built on prior Medicare episode payment research by considering eighteen alternative Medicare acute hospital plus post-acute care episode payment definitions. The episodes were defined with fixed end points such as 30, 60, 90 days post-acute hospital discharge and a variety of variable length end points. The analysis modeled the impact of the potential bundled payments. The project examined differences in payments across the episode payment options by geographic area using standardized payments.
The mean post-acute care episode payment level is largely driven by the alternative definitions used to define the end point of an episode; the sample over which the payments are averaged; the mix and volume of post-acute care services included in the episode definition; and the inclusion or exclusion of acute hospital readmissions in the episode definition.
Report Title: Post-Acute Care Episodes
Agency Sponsor: OASPE-OHP, Office of Health Policy
Federal Contact: Susan Bogasky, 202-401-0882
Performer: Research Triangle Institute
Record ID: 9630 (Report issued November 1, 2009)