Palliative care improves quality of life by relieving symptoms, providing psycho-social support, and by lowering costs by eliminating unwanted inventions, such as hospital readmissions.1,2 Because bundled payments approach episodes of care with the patient’s goals at the center of all care planning, bundled payments can help make palliative care available to patients by offering incentives that help avoid expensive care that may be at odds with the patient’s wishes. Further, effective January 2016, CMS reimburses physicians for “advanced care planning” activities that support palliative care as part of the updated Physician Fee Schedule under two new CPT codes.
Remedy Partners adds Chief Product Officer to Leadership Team
Jason Rose joins Remedy Partners to increase capabilities that will enable the transition to value-based care and the progression of bundled payment models
DARIEN, Conn.- [May 24, 2017] - Remedy Partners, the episodes of care company, today announced the appointment of Jason Rose as its Chief Product Officer (CPO). In this newly created role, Jason will help the company accelerate its leadership in developing software and services that enable payers, employers and providers with delegated risk to organize and finance healthcare delivery around a patient’s episode of care. This includes bundled payment models under the Centers for Medicare and Medicaid (CMS) programs, as well as expanding its offerings and services to other healthcare organizations and private sector payers to support improved health outcomes that also reduce costs and improve the patient experience. Learn more about Remedy Partners here.
Jason joins Remedy from Inovalon where he was Executive Vice President and Chief Strategic Development Officer. At Inovalon he led the development, launch and expansion of the Company’s product and technology presence across the healthcare marketplace. Jason’s career has included leading data-driven product development, corporate strategy, business development, technology implementation, marketing and communications. Jason earned his Master of Health Services Administration (MHSA) degree from The George Washington University School of Business. He also received a Bachelor of Science degree in Psychology from Radford University.
Remedy in the News
Expansion of Mandatory Bundled Payments Delayed to 2018
The Healthcare Financial Management Association (HFMA) News | May 23, 2017
5 Building Blocks for Success with Bundled Payments
Hospitals & Health Networks Magazine | May 23, 2017
Bundled Initiatives Moving Forward With or Without CMS
Home Health Care News | April 16, 2017
Visit Remedy Partners
at Exhibitor Booth
1038 at AHIP
Remedy Partners is proud to be a Bronze sponsor of AHIP - America's Health Insurance Plans Institute & Expo 2017 this year. The event takes place in Austin, Texas on June 7 – 9. AHIP is the premier conference for the health insurance industry.
At Remedy’s booth, #1038, we will be showcasing our end-to- end solutions that drive success in bundled payment programs for payers and providers. During the conference, Remedy will be hosting a cocktail party. For more information please reach out to Trip Cowin at firstname.lastname@example.org.
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
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.