Reducing avoidable hospital readmissions has been a focus of value-based care. The New England Journal of Medicine found that from 2007 to 2015, risk-adjusted rates of readmission for targeted conditions declined from 21.5% to 17.8%. Given that readmission are stressful for patients and adds significant cost to the healthcare system, providers have been looking for tools that identify when to intervene to attempt to prevent an unnecessary readmission.
CMS Embraces Innovation and Competition
Steve Wiggins with Nick Bluhm and Ryan PardoSeptember 20, 2017
Today, Seema Verma, the Centers for Medicare and Medicaid Services (CMS) Administrator, published a Request for Information seeking feedback on how to lead CMS’s Innovation Center in a new direction. Her statements reflect a belief in competition, consumer empowerment and a willingness to use waivers to enable meaningful innovation.
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
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.
Offering Enables Health Plans, TPAs, Self-Funded Plans and State Medicaid Plans to Administer Episode of Care Benefit Plan Designs
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.
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?
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.
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.
2016 National Innovation Collaborative
‘Redesigning Episodes of Care’ was the theme at Remedy’s fifth National Innovation Collaborative, which took place on November 14 and 15 in Philadelphia. Our largest yet, the 2016 Collaborative brought together more than 350 healthcare professionals representing 70+ organizations from across the nation.
In its 2014 report, Dying in America, the Institute of Medicine identified several areas for improvement in the care of those with life-limiting illness, including inadequate advance care planning and a lack of payment systems supporting high quality end of life care. Since then, we can point to two notable achievements in support the IOM report’s call for improvement: the proliferation of bundled payment programs and two E&M codes for advance care planning. I believe these developments will make it possible for more patients with serious illness to receive palliative care, as for the first time incentives are aligned between patients’ desires and how care is paid for.
The June 2016 issue of Today's Hospitalist, the leading publication for inpatient physicians, extensively quotes Remedy Partners’ Chief Medical Officer Win Whitcomb, MD in How to Succeed with Bundled Payments.
The Perfect is the Enemy of the Good
Before I started working for Remedy Partners as a Transitional Care Specialist assisting a Model 2 Acute Care Hospital Episode Initiator (EI) in identifying, engaging, and tracking BPCI patients during their episodes of care, one of the nurses preparing me for the job told me that “if you accomplish nothing else… get them to pick up the phone.” Her point was that if we are not able to speak to our patients after discharge then it will be difficult, if not impossible, to influence the outcome of that patient’s recovery. This was some of the best advice that I received but it assumed that we had already identified the patient as a BPCI patient.