First Do No Harm: An Opinion on Bundled Care for Stroke Patients

Archives of Physical Medicine and Rehabilitation
Mark J AshleySusan H Connors

Abstract

The Center for Medicare and Medicaid Innovation under the Centers for Medicare and Medicaid Services has invited institutions to demonstrate ways to bundle services into a 90-day episode of acute care that will lower costs and hospital re-admission rates. While these goals are laudable, they overlook the need for and value attained in postacute treatment. This article argues for elimination of the diagnosis of stroke from the proposed demonstration project due to misaligned financial incentives that will severely compromise patient outcomes.

Citations

Apr 4, 2021·Archives of Physical Medicine and Rehabilitation·Yucheng HouJustin G Trogdon

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