Two recent studies demonstrate that the number of elective procedures does not vary significantly in bundled payment programs when compared to controls. Wilson, de Brantes and Conway analyzed1 the Medicare Bundled Payments for Care Improvement initiative to determine if the volume of Lower Joint Replacement (LJR) procedures increased under the model. Their analysis was in response to an editorial3 in the Journal of the American Medical Association that raised questions about elective procedure volume and bundled payments in an accompanying JAMA study.2
Remedy in the News
Remedy Partners continues to be a strong advocate for the BPCI program and using bundled payment models as a path to healthcare transformation. Here are some recent mentions of Remedy in the news.
Bundled Initiatives Moving Forward With or Without CMS
Home Health Care News | April 16, 2017
New Medicare Model for Paying Doctors Passes Key Test
The Hill | April 13, 2017
Everything Doctors Need to Know about Bundled Payments
Medical Economics | April 10, 2017
Tom Price Might Soften Bundled Payments,
but Healthcare Orgs Will Stay the Course
Healthcare Finance | April 3, 2017
Bundled Payments Saved $120 Million for Medicare,
'Here to Stay' Despite Delays
McKnight's Long Term Care News | March 23, 2017
Remedy Partners Reports 7.7% Episode of Care Savings Through Voluntary Bundled Payment Models: 5 Insights
Becker’s ASC Review | March 23, 2017
Bundled Payments Continue to Show Success
MarketWatch | March 23, 2017
CMS Delays Expansion of Bundled Payment Programs
Modern Healthcare | March 20, 2017
CMS Delays Cardiac Bundled Payments and CJR Expansion after Offering Clues
AJMC.com | March 20, 2017
To Expedite Transition to Value in Health Care, Let Success Lead the Way
Morning Consult | March 1, 2017
How to Succeed with Bundled Payments
Today’s Hospitalist | March 2017
Remedy’s press release announcing projected cost savings of $120 million to the Medicare Trust Fund in 2017 was shared in more than 200 news outlets representing a readership of 87.7 million, including, AMA Alliance, Boston Business Journal, The Charlotte Observer, The Fort Worth Star-Telegram, The Miami Herald, The Minneapolis Star Tribune, New York Business Journal, The Olympian, The Pittsburgh Post-Gazette, The Sacramento Bee and Yahoo Finance.
Remedy CEO Carolyn Magill Advocates for Bundles in Morning Consult
More than 200,000 government and industry leaders rely on Morning Consult's original reporting and morning email briefings to deliver comprehensive coverage of campaigns and Congress as well as the energy, finance, health and tech industries.
On March 1, this prestigious audience read about the value of bundled payments in an opinion piece penned by Remedy CEO Carolyn Magill. In it, she illustrates that “Remedy programs are expected to save the Medicare Trust Fund more than $120 million in 2017 and that is just the beginning.”
Remedy Partners has developed a complete operating system for managing bundled payment programs. Episode Connect is the only enterprise software for BPCI program administration.
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This premier tool for enabling a quality value-based care program is delivered via web and mobile devices for your convenience. Episode Connect provides portals for patients, providers and administrators.
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ACOs and episode payment models can and do work together. To be most successful, payers need to synchronize the payment models they sponsor for participating providers. To help the Medicare program in this task, the Health Care Transformation Task Force released principles to consider when apportioning responsibility between alternative payment models covering the same patients.
Remedy CEO Carolyn Magill Cites Bundles as a Catalyst for Systemic Change
The spotlight was on bundled payments this week as CMS delayed the mandatory implementation of bundled payment initiatives for cardiac care and the expansion of the Comprehensive Care for Joint Replacement bundled payment pilot project. The delay, which was consistent with HHS Secretary Tom Price’s known objections to mandatory initiatives, allowed proponents of the Bundled Payment for Care Improvement initiative (BPCI) program, like Remedy Partners CEO Carolyn Magill, to reinforce the program’s success to date.
The Transitional Care Institute recently hosted our first webinar of 2017, ‘High Value Care Transitions: Key Concepts in Optimizing Next Site of Care.’ In it, Chief Medical Officer Win Whitcomb and Clinical Director Susana Hall gave a comprehensive look at NSOC selection using case studies, performance data, and improvement strategies.
When Secretary Price said "people have coverage, but they don't have care," he underscored his commitment to one of the core values of bundled payments: patient-centered care. Dr. Price believes that “patients and doctors should be in control of healthcare”; which is why he does not support mandatory pilot programs.” He understands that providers need flexibility, not dictations, to accommodate the needs of their patients.
The Medicare program delayed again its mandatory bundled payment models. This announcement, however, does not change CMS's commitment to the Bundled Payments Care Improvement (BPCI) initiative and its successor model in 2018. Specifically, CMS delayed by three months the effective dates of both the mandatory cardiac EPM programs and the expansion of the CJR model. CMS requests comment on delaying until January 2018 these effective dates.
Managing Episodic Length of Stay (ELOS) in skilled nursing facilities (SNFs) is an important strategy to reduce unnecessary costs and improve outcomes during a patient’s episode of care. It is well established that SNF length of stay varies widely between geographic regions and by payer type (fee for service vs. managed Medicare, for example). This variability is perpetuated by a lack of accessible, standardized information about expectations, performance, and outcomes. The SNF Episodic Length of Stay (ELOS) Guidelines seek to address this issue by offering clinical recommendations and data-driven targets for managing SNF length of stay at the bundle level.
What a whirlwind trip to D.C.! Remedy’s Chairman Steve Wiggins and I visited the U.S. Department of Health & Human Services yesterday to share Remedy's experience in the Bundled Payment for Care Improvement initiative. We joined the CMS leaders of the BPCI initiative, who shared similar observations about the path to bundled payment success.
As the nation focuses on the future of healthcare policy, Remedy has been advocating for the robust use of the bundled payment model as a means to improve patient outcomes and reduce healthcare costs.
A significant study published in the JAMA Internal Medicine at the beginning of the year demonstrates how a health system effectively reduced episodic expenditures through bundled payments by 20 percent. Notwithstanding the rising national costs of joint replacements, Baptist Health System (BHS) saved $20 million over seven years with bundled payments.