An academic medical center’s (AMC) transformation team had developed an objective for a rapid-cycle reduction to readmissions. However, due to current payment approaches, the plan would result in the reduction of revenue that far exceeded the level of cost-reduction possible, while requiring an investment in care coordination resources.
Working with the AMC, BRG led a successful statewide effort to bundle readmissions into 30-day case rates that included both the initial admission and readmission. BRG assisted approximately 30 hospitals and health systems with implementation. BRG worked with medical directors and clinical and financial leadership teams to profile readmissions, target opportunities for improvement, analyze cost savings, develop care-management budgets, and develop payment bundling contracts.