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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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How ‘Home-to-Home Time’ Supports the Goals of Bundled Payments

Addressing the tendency of fee-for-service to promote more spending requires changing the metrics that motivate clinician behavior away from volume as a primary focus. The DRG system, an early example of bundled payment, represents an attempt to solve the problem by paying hospitals a set amount for each hospitalization. DRG-based reimbursement incentivizes hospitals to keep costs down by eliminating unnecessary services and by shortening length of stay (LOS). Indeed, in the 30 years following the introduction of the DRG system, average hospital LOS nearly halved, dropping from 10.0 days in 1983 to 5.1 days in 20131,2

This fix may have had unintended consequences. After adjusting their practices to discharge patients home as soon as it was safe to do so, some hospitals went a step further by transitioning sicker patients to SNFs rather than keeping those patients in-house until they could safely go home. Over the last three decades, the proportion of Medicare patients leaving a hospital who were discharged to a SNF quadrupled from 5% to 20%3,4. This shifting of days from the acute to the post-acute facility setting has several negative consequences: it adds an extra transition, increases the overall time that patients spend in facilities, and increases the cost to Medicare since SNFs are reimbursed by the day whereas hospitals are paid a lump sum for the patient stay. This last point is likely part of the reason that Medicare’s spending per hospital admission on combined inpatient and post-acute facility stays increased by nearly 10% from 2004 to 20115.

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Remedy in the News

Remedy continues to be a strong advocate for the BPCI program and using bundled payment models as a path to healthcare transformation.>

CMS proposes changes to CJR: 6 key thoughts on what this means for orthopedic bundled payments
Becker's Spine Review | August 18, 2017

Is HHS’ Proposal to Scale Back Mandatory Bundled Payments a Step Back from Value-Based Care? Many Healthcare Experts Say No
Healthcare Informatics | August 18, 2017

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Chris Garcia Named CEO of Remedy Partners

Remedy Partners, the nation’s leading bundled payment company, has named Chris Garcia its chief executive officer, effective July 12, 2017. Remedy is well-positioned for accelerated growth as the healthcare industry continues to adopt bundled payments as a core value-based payment strategy.

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Using Bundled Payment to Drive Competitive Strategy

Medicare Underscores Its Focus on Voluntary Bundled Payment Models

Remedy Adds a New Readmission Risk Predictor to Episode Connect

Value-Based Care Near the End of Life: A Webinar on Hospice and Palliative Care

Put Bundles in the Toolkit: Highlights from The Seventh National Bundled Payment Summit

HealthEdge And Remedy Partners Launch Bundled Payments Initiative

Optimizing The Value Of Skilled Nursing Facilities (SNFs) In Value-Based Care: Insights for Hospitals and Health Systems

Remedy Executives to Speak at The Seventh National Bundled Payment Summit

A Blueprint for Success in Value-based Care

Visit Remedy Partners at Exhibitor Booth 1038 at AHIP

Bundled Payments and the Practice of Palliative Care

Bundled Payments are Not Associated with an Increase in Elective Procedures

How ACOs and Episode Payment Models Can Work Together

Spotlight on Continued Success of Bundled Payments

Transitional Care Institute Hosts Webinar on Next Site of Care

Secretary Price: A Strong Supporter of Voluntary Bundled Payments

Medicare Delays Mandatory Bundled Payments; Expansion of Voluntary Bundles Unaffected

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

Remedy Promotes BPCI at HHS Committee Hearing

Special Opportunity to Advocate for BPCI to HHS

Remedy CEO Carolyn Magill Advocates for Bundles in Morning Consult

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

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

Thinking Outside the DRG

Remedy Partners and the Transitional Care Institute Host National Innovation Collaborative

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

Remedy Hosts Large Gathering of Bundled Payment Influencers and Operators

Zeke Emanuel Shares 12 Transformational Practices and Thoughts on Success in Bundled Payments

Remedy in Action:  PAN Reps impact Length of Stay

Fierce Healthcare Highlights Dr. Win Whitcomb’s CAPG Panel on Post-Acute Care

Remedy Partners Chief Medical Officer Discusses Post-Acute Care at CAPG Colloquium

Carolyn Magill Speaks at Health 2.0 Conference

Access to Good Palliative Care: The Time is Now

Dr. Win Whitcomb in Today’s Hospitalist on How to Succeed with Bundled Payments

Five Questions For… Win Whitcomb

Selecting the Optimal Post Acute Next Site of Care: A Primer for Physicians

Patient Identification for the BPCI Program

Remedy Convenes Florida Healthcare Professionals to Discuss Intersection of BPCI Program and Home Health

New Political Climate is Time to Tout Results of BPCI

Carolyn Magill Appointed CEO of Remedy Partners

Five Questions For . . . Steve Wiggins

Decision Support Technology and the BPCI Program

Gene Huang to Speak on Bundled Payments at LTC 100

Remedy’s Chief Medical Officer Speaks on Value-Based Healthcare at the American College of Physicians Annual Meeting

Four Steps for Physicians To Drive Bundled Payment Success

Early Mobility is Key to Recovery and Home Discharge

Five Questions for... Gene Huang

Enhancing the Delivery of Quality Care Through Collaboration between SNFs and among Post Acute Providers

SNF Collaboration in Action: The Connecticut Post Acute Alliance

Gene Huang Speaks on Bundled Payment Opportunities for SNFs

Remedy Convenes Bundled Payment Practitioners

Interoperability and Communicating with Episode Connect

Hospitalists Lead the Move to Physicians in Alternative Payment Models

Selecting a High Value Next Site of Care: A Novel, Important Skill for the Inpatient Team

Narrow SNF Networks and Increased Collaboration: The Remedy Approach

Five Questions For... Sheetal Shah

The 6 Steps to CJR Success

Bundled Payment in Perspective: A Top Ten List

Empathy, Patients and Caregivers

NYU Langone Enhances Patient Experience by Reducing Referrals to Rehab Facilities after Major Surgery

Orthopedic Pearls from Remedy’s Innovation Series

There's No Place Like Home

Strategies for Post Acute Facility Care Redesign

Medicare Signals Permanent Moves Toward Episodic Accountability

Moments of Clarity

The Value of the Physician Visit During the First Week After Discharge

The Baltimore Collaborative Event

Physician Engagement and Satisfaction

BPCI Overview (Part 1)

BPCI Overview (Part 2)

Building Momentum for the Bundled Payment Movement

How We Improved Quality and Lowered Post Acute Costs for Total Hip Replacement

Who is Talking About Bundled Payments?

 

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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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