Health Policy

Health Care Quality

Quality care can improve patients’ quality of life and likelihood of recovery, as well as reduce the cost of treatment. Since 1998, Abt has been developing, implementing and providing ongoing support for healthcare quality performance measures in the hospital, nursing home, and home health settings. 

Our extensive experience includes being at the forefront of a major federal initiative to report care outcome information to Medicare beneficiaries and others receiving services in nursing homes. We have also helped states report initiatives in quality outcomes and consumer satisfaction.


Impact

UNITED STATES: Does paying for entire episodes of care improve outcomes?

 

Some Medicare and Medicaid payments are made based on individual episodes of care such as inpatient, outpatient and home health. Concerned that this approach may result in fragmented care and minimal coordination across providers, CMS piloted an innovative new “bundled” payment model in January 2013 with a select number of hospitals and post-acute care providers. Using mixed methods and multiple data sources, Abt Associates and Abt SRBI are assessing the impact of bundled payments on quality of care and Medicare expenditures—gauging patient satisfaction, access to services, functionality factors, recovery results, and implications for the market overall. Those findings could ultimately lead to more coordinated and higher quality care at a lower overall cost to Medicare.
CLIENT: The Lewin Group/CMS / PROJECT: Evaluation of the Bundled Payment for Care Improvement (BPCI)

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