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.
HealthEdge And Remedy Partners Launch Bundled Payments Initiative
Offering Enables Health Plans, TPAs, Self-Funded Plans and State Medicaid Plans to Administer Episode of Care Benefit Plan Designs
BURLINGTON, Mass.--(BUSINESS WIRE)--HealthEdge®, provider of the only integrated financial, administrative and clinical platform for health insurers, and Remedy Partners, the nation’s leading bundled payment company, today announced a collaboration to deliver a transformational platform to the market, capable of administering an entirely new category of health insurance benefit plan based on episodes of care and bundled payments.
This innovative offering provides a turnkey opportunity for payers, large self-funded employers and third party administrators to underwrite, sell, and/or administer episodes of care-based commercial products. The platform may be offered as a part of a comprehensive business process outsourcing (BPO) package or as a standalone platform for customers to independently manage the administration of episode of care plans.
“Bundled payments and episodes of care are part of the new reality of value-based reimbursements today,” said Steve Krupa, CEO of HealthEdge. “They will become even more important in the future and we are pleased to partner with the leader in the field, Remedy Partners, on this innovative offering.”
Remedy in the NewsRemedy Partners continues to be a strong advocate for the BPCI program and using bundled payment models as a path to healthcare transformation.
HealthEdge And Remedy Partners Launch Bundled Payments Initiative
Business Wire | June 21, 2017
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Put Bundles in the Toolkit: Highlights from The Seventh National Bundled Payment Summit
Bundled payments are the missing element from many organizations' toolkit for driving quality and efficiency. That was the theme emerging from the discussions taking place at the 2017 National Bundled Payment Summit which took place in Washington D.C. on June 26-28th.
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.
Home health care has become an increasingly viable option for individuals seeking post acute care in their own homes, and the selection of home care as the next site of care when appropriate can contribute to success in a bundled payment program. Because there are nuances to the use of home health services in a bundled payment program, Remedy Partners convened two events to address the intersection of the BPCI program and home health services in Florida: the first-ever Home Health Town Hall and a BPCI & HH Symposium.
A key element of discharge planning - the selection of the next site of care - is more important and more complex than ever before, due in large part to the advent of the BPCI program and the episodic approach to care. Once the realm of laminated checklists, frayed brochures and quick conversations, hospitals are now finding technology to be a powerful tool to assist them in the selection of an appropriate next site of care.