Community Hospital of the Monterey Peninsula is participating in a Medicare initiative called the Bundled Payments for Care Improvement Advanced Model. The initiative encourages doctors, hospitals, skilled nursing facilities, home health agencies, and other healthcare providers to work together more closely to improve care during certain hospital stays and for up to 90 days afterward.
Care is designed around a patient's overall needs during treatment and recovery. To support recovery, our goal is that every patient will have a registered nurse care manager who provides support by telephone to enhance care coordination, eliminate unnecessary duplication of services, and support patients toward optimal recovery.
Under this program there are no changes to the way Medicare pays each provider. The hospital is responsible for the total payment amounts when compared to Medicare’s expected total payment amount. This encourages healthcare providers to work together for efficient, well-managed, high quality, patient-centered care. Hospitals, doctors, and other healthcare providers may receive an additional payment for providing better, more coordinated care. Medicare will monitor the care to ensure quality.
At Community Hospital, the bundled payment approach will be used for some surgeries and conditions involving:
- Major hip or knee joint replacement
- Hip and femur procedures
- Major bowel procedures
- Gastrointestinal hemorrhage treatment
Patient Medicare rights have not changed
Patients still have all the same Medicare rights and protections, including the right to choose which hospital, doctor, or other healthcare provider they see. However, because Community Hospital participates in the Bundled Payments for Care Improvement Advanced Model, all Medicare beneficiaries who meet the eligibility criteria of this initiative will receive care under it.
People who do not wish to receive care under the bundled payment model must choose a healthcare provider that does not participate in this initiative. Regardless of which healthcare provider is chosen, Medicare will continue to cover all medically necessary care.
Your feedback is important
After your treatment and care, Medicare may ask you to answer a survey about the services you received from Community Hospital. The survey will be mailed to you. It is optional, but your feedback will improve care for all people with Medicare who receive care from Community Hospital.