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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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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.”

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Remedy in the News

Remedy 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

Skilled Nursing ‘Under Siege,’ Quarter of Beds to Disappear by 2022
Skilled Nursing News |  June 11, 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.

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CARL, BPCI, Post-Acute

Decision Support Technology and the BPCI Program

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.

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Remedy Partners, CARL

Five Questions For... Sheetal Shah

Sheetal Shah, Director of Interoperability at
Remedy Partners

Sheetal is responsible for projects related to partner integration and data exchange. Prior to Remedy Partners, she spent five years at the US Department of Health and Human Services with the Office of the National Coordinator for Health IT and the Center for Medicare and Medicaid Innovation. Her experience in health IT includes two years in Ethiopia leading the implementation of an administrative and clinical IT system at a university health center. She has an MPH degree in Health Policy from George Washington University and earned her undergraduate degree from the University of Michigan.

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Remedy Partners, CARL, Total Joint Replacement, Collaboration, Bundled Payments, TJR

Orthopedic Pearls from Remedy’s Innovation Series

The two orthopaedic faculty presenting at Remedy’s October 2015 Innovation Collaborative are successful participants in BPCI’s total joint replacement (TJR) bundle. Rob Krushell MD, from New England Orthopedic Surgeons and Medical Director for Hip and Knee Replacement at Baystate Medical Center, Springfield, MA has been working in bundled payments since 2011, first with a commercial health plan and then as a BPCI participant. Jeff Malumed MD, Chair of Orthopaedics at Taylor Hospital, Ridley Park, PA, and President of Premier Orthopaedics and Sports Medicine Associates, has participated in the BPCI program as an Episode Initiator with Remedy Partners as Convener since July 2015. 

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Remedy Partners, CARL, Readmission Rates, BPCI, CJR, Bundled Payments, Comprehensive Care for Joint Replacement, Discharge to SNF vs. Home, Care at the Right Location, Readmission Rates Comparison

There's No Place Like Home

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.

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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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