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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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CJR, Bundled Payments, CMS, Carolyn Magill

Spotlight on Continued Success of Bundled Payments

Remedy CEO Carolyn Magill Cites Bundles as a Catalyst for Systemic Change

The spotlight was on bundled payments this week as CMS delayed the mandatory implementation of bundled payment initiatives for cardiac care and the expansion of the Comprehensive Care for Joint Replacement bundled payment pilot project. The delay, which was consistent with HHS Secretary Tom Price’s known objections to mandatory initiatives, allowed proponents of the Bundled Payment for Care Improvement initiative (BPCI) program, like Remedy Partners CEO Carolyn Magill, to reinforce the program’s success to date.

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Remedy Partners, Value Based Care, CJR, Bundled Payments, Value Based Healthcare, Comprehensive Care for Joint Replacement

The 6 Steps to CJR Success

To be successful in this program, you will need to optimize your day-to-day workflow, ensuring that your patients receive better care at a lower cost. We at Remedy Partners believe that there are 6 Steps to Success.

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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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CMMI, CCJR, SNF Performance Network, CJR, Bundled Payments, Episodes of Care, Comprehensive Care for Joint Replacement, Care at the Right Location, CARL Tool, CMS

Medicare Signals Permanent Moves Toward Episodic Accountability

Remedy helps older Americans recover from hospital stays through aligned provider incentives, care coordination services, information sharing, software integration and transitional care networks.

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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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