Ready or not, change is coming to healthcare reimbursement. The shift from fee-for-service to fee-for-value has dramatically changed how facilities operate. As these changes were being planned and implemented, there were four bundled payment models in pilot programs, with Models 2 and 3 directly affecting long-term care. The goal of these models was to improve care coordination and quality while lowering costs by linking payment for multiple services that patients receive during an episode of care.
Peak Resources, a MatrixCare client, helped set the pace by participating in the pilot program for Model 3 in all of their seven facilities. In Model 3, a care episode is triggered by a hospital stay but begins with post-acute care services.