title: Evolution of a 90-day model of care for bundled episodic payments for congestive heart failure in home care.
abstract: The Centers for Medicare and Medicaid Services Innovation Center's Episode-Based Payment initiatives propose a large opportunity to reduce cost from waste and variation and stand to align hospitals, physicians, and postacute providers in the redesign of care that achieves savings and improve quality. Community-based organizations are at the forefront of this care redesign through innovative models of care aimed at bridging gaps in care coordination and reducing hospital readmissions. This article describes a community-based provider's approach to participation under the Bundled Payments for Care Improvement initiative and a 90-day model of care for congestive heart failure in home care.
authors.affiliation: a The Visiting Nurse Service of New York , New York , New York , USA.|b Yale University School of Nursing , New Haven , Connecticut , USA.
authors.forename: April
authors.initials: A
authors.lastname: Feld
authors.affiliation: a The Visiting Nurse Service of New York , New York , New York , USA.
authors.forename: Rose
authors.initials: R
authors.lastname: Madden-Baer
authors.affiliation: b Yale University School of Nursing , New Haven , Connecticut , USA.
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
keywords: Bundled payments; community and home care; congestive heart failure; home health care