Question

Which is an example of a Bundled Payment for Care Improvement?

a. The insurance company combines services for several patients into one single payment.
b. The hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.
c. The hospital is paid an additional bonus if the patient's surgical outcome exceeds national standards.
d. The insurance company will withhold all payments for the patient until accreditation is achieved.

Answer 1

b. The hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.

An example of a Bundled Payment for Care Improvement is when a hospital receives a lump sum for all costs associated with a patient's surgery, promoting efficient care and potential cost savings.

Step-by-step explanation:

An example of a Bundled Payment for Care Improvement (BPCI) is when the hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.

This payment model is part of a shift away from the traditional fee-for-service where providers are paid for each service rendered.

Instead, BPCI is an approach where providers receive a single payment for all services related to a specific treatment or condition, which can incentivize more efficient care management and cost reductions.

An example of a Bundled Payment for Care Improvement is b. The hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.