Hospital to Home Transition for Patients With Stroke Under Bundled Payments


Bundled payments are a promising alternative payment model for reducing costs and improving the coordination of postacute stroke care, yet there is limited evidence supporting the effectiveness of bundled payments for stroke. This may be due to the lack of effective strategies to address the complex needs of stroke survivors. In this article, we describe COMprehensive Post-Acute Stroke Services (COMPASS), a comprehensive transitional care intervention focused on discharge from the acute care setting to home. COMPASS may serve as a potential care redesign strategy under bundled payments for stroke, such as the Centers for Medicare & Medicaid Innovation Bundled Payment for Care Improvement Initiative. The COMPASS care model is aligned with the incentive structures and essential components of bundled payments in terms of care coordination, patient assessment, patient and family involvement, and continuity of care. Ongoing evaluation will inform the design of incorporating COMPASS-like transitional care interventions into a stroke bundle.

Archives of Physical Medicine and Rehabilitation, 102(8)
Yucheng Hou
Yucheng Hou
PhD candidate in Health Policy and Management

Yucheng Hou is a PhD candidate in Health Policy and Management with a concentration in economics at UNC Chapel Hill. Yucheng has broad research interests in the field of health economics and health service research, with an emphasis on payment and delivery system reform and evaluating policies and interventions that aim to improve value for patients.