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Find videos, learning materials, case studies and tools designed to assist you in navigating the often-
complex process of implementing bundled payment programs in your local healthcare settings.


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Featured Article

Spotlight on Continued Success of Bundled Payments

By Remedy Partners

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.

Magill emphasized the value of engaged participation in Modern Healthcare. Sharing experience from Remedy Partners, which oversees both $5.7 billion in program spending under the CMMI's BPCI initiative and $115 million in its mandatory bundled payment programs, Magill reinforced that providers who choose to participate in bundles are committed to delivery reform.

Bundles will pay a primary role in healthcare reform, she told Becker’s ASC Review, saying “As we move to more value-based care models that encourage efficiency and improvements in care quality, bundled payments will continue to play a central role.".

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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.”

Read the full piece here

Episode Connect

Remedy Partners has developed a complete operating system for managing bundled payment programs. Episode Connect is the only enterprise software for BPCI program administration. 

We like to think of it as the connective tissue between administrators, nurses, physicians, case managers, patients and families.

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.

Actionable Intelligence. Decision Support. Only From Remedy

Learn more


 

Care Redesign, Bundled Payments, ACA, Politics

Secretary Price: A Strong Supporter of Voluntary Bundled Payments

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.

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Bundled Payments, Value Based Healthcare, Mandatory Bundles,, Medicare, EPM

Medicare Delays Mandatory Bundled Payments; Expansion of Voluntary Bundles Unaffected

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.

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SNF, Post-Acute, SNF Performance Network, Bundled Payments, Care Transitions

Updated SNF Episodic Length of Stay (ELOS) Guidelines Released to Field

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.

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Remedy Promotes BPCI at HHS Committee Hearing

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.

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BPCI, Healthcare Reform

Special Opportunity to Advocate for BPCI to HHS

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.

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JAMA Internal Medicine, Bundled Payments, Gainsharing, ACA

No Bones About It, Bundled Payments Reduce Costs: Study Shows 20% Cost Reduction

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.

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BPCI, Post-Acute

Dr. Win Whitcomb Shares Advice on How Clinicians can Enable Home Recovery in NEJM Catalyst

One of the most important changes spurred by the practice of value-based care is how physicians may adjust the way they practice. Much of the opportunity to improve value lies in removing needless spending during the period following a hospitalization. For patients, this means spending more time recovering at home and less time in facilities. So what do doctors need to do differently to enable a home recovery?

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Post-Acute, Bundled Payments, DRG

Thinking Outside the DRG

Hospital-based specialists, generalists (e.g., hospitalists), and surgeons participating in bundled payment programs have tremendous influence over the quality and costs of patient care inside the four walls of the hospital. While many interventions also have effects after discharge, others have more limited post-acute impact. All things being equal, physicians should focus their in-hospital efforts on practices that have a positive effect on patients after they leave the hospital. For example, holding goals of care conversations, early mobilization, prompt discontinuation of urinary and central venous catheters, and asking discharge planners "Why not home?" are but a few of many practices that may improve healthcare value during the post-acute period. In the linked article, I describe how practices that represent 'thinking outside the DRG', or outside the inpatient stay, may improve patient care during recovery from a hospitalization.

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BPCI, National Innovation Collaborative, ACA

Remedy Partners and the Transitional Care Institute Host National Innovation Collaborative

Remedy recently hosted our 2016 National Innovation Collaborative, the fifth and largest event in the company’s history. The conference, which was held on November 14 -15 in Philadelphia, brought together 337 healthcare professionals from across the nation, representing more than 70 different acute care hospitals, PGPs, SNFs, HHAs, and more for a multi-day celebration of the successes and challenges of bundled payments.

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BPCI, Bundled Payments, ACA, Politics

The Health Care Transformation Task Force Urges Support for Value-Based Care

The Health Care Transformation Task Force issued a strong letter to President-elect Trump, Vice President-elect Pence, and Congressional leadership supporting the continuation of public and private efforts to replace fee-for-service payments for healthcare services with value-based alternatives. Remedy Partners is one of the Task Force’s 43 member organizations (both for-profit and not-for-profit) which include six of the nation’s top 15 health systems and four of the top 25 health insurers, as well as leading national organizations representing employers, patients and their families, and the policy community.

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Glossary

Anchor Stay
The period of time between the admission date and the discharge date of an episode-initiating hospital stay for a patient.


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