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
Remedy Partners’ 2017 National Innovation Collaborative:
The Year’s Largest Gathering of Professionals Dedicated to Bundled Payments
Remedy Partners November 13, 2017
This year’s largest gathering of bundled payment operators will convene at Remedy Partners’ Fourth Annual National Innovation Collaborative in Atlanta, GA on November 16 -17. The conference, open to Remedy Partners’ clients and collaborators, is expected to garner more than 350 attendees. It will balance presentations from industry thought leaders with those of professionals working in bundled payment programs on a daily basis.
Remedy in the News
Bundled Payment Report Illustrates Increased Demand for Home Health
Home Health Care News | November 2, 2017
Remedy Partners names EVP of commercial business lines: 3 things to know
Becker's Hospital Review | November 1, 2017
Three reasons your SNF should sign up for CMS's BPCI Advanced Program
McKnight's Long-Term Care News | November 1, 2017
Remedy Partners Announces that One Hundred Percent of its Hospital Partners Achieve Positive Net Payment Reconciliation Amount (NPRA) in Bundled Payment Initiative
Medicare’s voluntary BPCI program’s financial results reveal positive NPRA for 100 percent of Remedy Partners’ engaged hospitals and 81 percent of its partner clients
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.
When you deposit your paycheck, you expect your bank to process it. If you travel out of town, you count on being able to access your money from an ATM. But patients discharged from the hospital to a rehabilitation center or nursing home may not experience such a seamless transition of their healthcare information.
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.