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Healthcarecomplexhealthcareoutcomesreadmission
Healthcare readmission reduction
Provider receives a bonus for reducing 30-day readmission rates below an agreed bar.
What’s pre-filled
PartiesHospital System (payor), Care Coordination Co. (payee)
Term24 months
Outcomes30-day readmission rate below 12%
Formulatiered: 25000 * min(1, max(0, ceil(12 - readmission_rate))) + 35000 * min(1, max(0, ceil(10 - readmission_rate))) + 40000 * min(1, max(0, ceil(8 - readmission_rate)))
Verifierthird_party (Independent clinical auditor)
Settlementach · net 60 days from auditor report
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