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.
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.
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.
Gene Huang, Remedy Partners Vice President of Business Development, was invited to speak on a panel at LTC 100, the premier leadership and strategy conference for C-level executives from large skilled nursing providers.
Win Whitcomb, MD, MHM, Remedy’s Chief Medical Officer was invited to speak at the American College of Physicians (ACP) Annual Meeting, the nation’s largest annual gathering of internal medicine doctors, including a dedicated track for hospitalists. More than 6,000 internal medicine physicians, subspecialists, medical students, and allied health professionals from around the world are attending the ACP Internal Medicine Meeting 2016, held this year in Washington, D.C. from May 5 - 7.
Bundled payment programs require effective care coordination encompassing the hospitalization and the post-discharge recovery period. Within this care coordination process, selecting the ‘next site of care’ after hospital discharge is a crucial element in the provision of high value patient care. Why? When looking at large data sets representing aggregate spending, the cost of post-acute care can rival that of the initial inpatient stay.(1) For many bundles, total 90-day episode spending for a patient discharged to a skilled nursing facility can be more than two times that of a patient discharged to home.(2)
Why CMS is Focusing on Post Acute Care
Healthcare is increasingly transitioning to value based payment models in an effort to control spending and improve quality. In 2014, the amount spent on healthcare in the U.S. per individual reached $9,523—more than twice the average of all other developed countries—and is projected to reach $14,103 by 2021 if unchecked. Total healthcare spending represents almost 18% of GDP, and is expected to grow to 20% in the next five years. Furthermore, Medicare alone represented 20% of National Healthcare Expenditures
in 2013, and is expected to increase significantly after 2015 due to growing utilization of medications and services by an aging population.
Implementing a bundled payment program requires new knowledge, sophistication and skill. In my healthcare career of 40 years focused on managed care and the hospitalist specialty, my work with Remedy and bundled payments again has me facing a steep learning curve. Here I list my Top Ten "Aha!" learnings at Remedy, in no particular order.
From ‘Who We Are’ on RemedyPartners.com Our Core Value: Empathy
SNF Readmission and Mortality Risk Versus Discharges to Home
Co-Authored by Steve Wiggins, Brittain Brantley, Mary Dittrich, MD, Marina Burke, NP, Win Whitcomb, MD
Evidence is growing that patients fare comparatively well when choosing to go home after a hospitalization, versus being admitted to a post acute facility. Patients discharged to
their homes have readmission and mortality risk that is equivalent and possibly lower than patients with similar conditions who are discharged to skilled nursing facilities (SNFs) or other post acute facilities. Remedy’s own research, as well as studies published by the American Heart Association and the American Journal of Medicine, provides encouraging evidence to support discharges to home for challenging patients.