First Do No Harm: An Opinion on Bundled Care for Stroke Patients

Mark J. Ashley, Wayne A. Gordon, Brent E. Masel, Peter W. Thomas, Susan H. Connors

Research output: Contribution to journalComment/debate

3 Scopus citations


The Center for Medicare and Medicaid Innovation under the Centers for Medicare and Medicaid Services has invited institutions to demonstrate ways to bundle services into a 90-day episode of acute care that will lower costs and hospital re-admission rates. While these goals are laudable, they overlook the need for and value attained in postacute treatment. This article argues for elimination of the diagnosis of stroke from the proposed demonstration project due to misaligned financial incentives that will severely compromise patient outcomes.

Original languageEnglish
Pages (from-to)578-580
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Issue number3
StatePublished - Mar 2019


  • Rehabilitation
  • Stroke


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