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The Centers for Medicare and Medicaid Services (CMS) introduced the Bundled Payments for Care Improvement Initiative (BPCI) in 2013 in an effort for consumers to have higher quality and more coordinated care. This research compared the care and outcomes of four individuals with bundled payment insurance plans and four non-bundle insured individuals with the same diagnosis, accessing rehabilitation services at a skilled nursing facility. The results show no observable differences between the outcomes of individuals with a bundled insurance plan and individuals without a bundled insurance plan. The financial implications are negative for healthcare agencies participating in BPCI who must successfully treat individuals within the CMS standardized Estimated Length of Stay (ELOS). These results are limited due to the small sample size observed and the lack of financial data available. The application of bundled insurance plans to the older adult population is discussed with recommendations for future research on this topic to observe a larger sample size.

Publication Date



Medicaid, Medicare, Care Improvement Initiatives


Health and Medical Administration | Other Nursing

Bundle vs. Non-Bundle: Looking at Differences in Care and Outcomes at a Skilled Nursing Facility