Medicare currently makes separate payments to various providers for the services they furnish to the same beneficiary for a single illness or course of treatment (an episode of care). Offering these providers a single, bundled payment for an episode of care makes them jointly accountable for the patient's care. It also allows providers to achieve savings based on effectively managing resources as they provide treatment to the beneficiary throughout the episode.
The lists below are pilot projects by provider. They represent various bundled payments for care improvement models at different stages. These resources are listed among other innovation models at CMS.gov.
Pilot Projects by Episodes of Care
Medicare Acute Care Episode (ACE)
The 3-year ACE demonstration will test the use of a global payment for an episode of care as an alternative approach to payment for service delivery. The global payment will cover all Part A and Part B services, including physician services, pertaining to the inpatient stay for Medicare fee-for-service beneficiaries