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Find videos, learning materials, case studies and tools designed to assist you in navigating the often-
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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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Bundled Payments, Palliative, Palliative Care,

Bundled Payments and the Practice of Palliative Care

Palliative care improves quality of life by relieving symptoms, providing psycho-social support, and by lowering costs by eliminating unwanted inventions, such as hospital readmissions.1,2 Because bundled payments approach episodes of care with the patient’s goals at the center of all care planning, bundled payments can help make palliative care available to patients by offering incentives that help avoid expensive care that may be at odds with the patient’s wishes. Further, effective January 2016, CMS reimburses physicians for “advanced care planning” activities that support palliative care as part of the updated Physician Fee Schedule under two new CPT codes.

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BPCI, Palliative Care,

Access to Good Palliative Care: The Time is Now

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.

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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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