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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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SNF

Optimizing The Value Of Skilled Nursing Facilities (SNFs) In Value-Based Care: Insights for Hospitals and Health Systems

White paper co-authored by Shawn Matheson of Remedy Partners and published by Leavitt Partners

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SNF, Post-Acute, SNF Performance Network, Bundled Payments, Care Transitions

Updated SNF Episodic Length of Stay (ELOS) Guidelines Released to Field

Managing Episodic Length of Stay (ELOS) in skilled nursing facilities (SNFs) is an important strategy to reduce unnecessary costs and improve outcomes during a patient’s episode of care. It is well established that SNF length of stay varies widely between geographic regions and by payer type (fee for service vs. managed Medicare, for example). This variability is perpetuated by a lack of accessible, standardized information about expectations, performance, and outcomes. The SNF Episodic Length of Stay (ELOS) Guidelines seek to address this issue by offering clinical recommendations and data-driven targets for managing SNF length of stay at the bundle level.

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Model 3, SNF, Episodes of Care

Enhancing the Delivery of Quality Care Through Collaboration between SNFs and among Post Acute Providers

Remedy recently convened 120+ clinicians and administrators representing over 90% of Remedy’s 437 Model 3 SNF partners from across the nation for the first-of-its-kind SNF Innovation Collaborative. This meeting highlighted the importance of collaboration on two fronts -- between Model 3 SNFs, and among all the providers in the post acute environment. 

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Model 3, SNF

SNF Collaboration in Action: The Connecticut Post Acute Alliance

Remedy Partners SNF Collaborative | Orlando 2016

In January 2016, Remedy invited Model 3 SNF partners to create a local collaborative. The outcome was the launch of the Connecticut Post Acute Alliance (CPAA) – a network of Remedy Model 3 SNFs invested in improving the efficiency, coordination, and quality of healthcare services delivered throughout an episode of care. The Alliance represents over 90% of the Model 3 SNFs in Connecticut. It is almost three times larger than the largest SNF chain in Connecticut, so it is the best of both worlds - independently owned facilities dedicated to servicing Connecticut patients, and working together to leverage the benefits of being in the BPCI program with Remedy.

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SNF, Post-Acute, Bundled Payments

Gene Huang Speaks on Bundled Payment Opportunities for SNFs

Gene Huang, Remedy Partners’  Vice President, Business Development, was a featured speaker at the 13th Annual HealthMEDX User Group in St Louis on April 12 - 14, 2016.

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BPCI, SNF, Discharge Planning, Post-Acute, Bundled Payments, Value Based Healthcare

Selecting a High Value Next Site of Care: A Novel, Important Skill for the Inpatient Team

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)

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Care Redesign, BPCI, SNF, Value Based Care, SNF Performance Network, Preferred Provider, SNF Network, Bundled Payments, Value Based Healthcare, Episodes of Care

Narrow SNF Networks and Increased Collaboration: The Remedy Approach

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.

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SNF, Post-Acute, Care Collaboration, Innovation Collaborate 2016 Baltimore, skilled nursing facility

Strategies for Post Acute Facility Care Redesign

HIGHLIGHTS FROM REMEDY’S INNOVATION COLLABORATIVE
OCTOBER 1ST AND 2ND, 2015 |  BALTIMORE, MD

Eric Hume, MD, orthopedic surgeon and Director of Quality and Safety for Orthopedics
at Penn Medicine, described acute and post acute care collaboration for joint replacement patients. He emphasized Collaborative Pathways – which specify interventions spanning
a recovery period – to assure a safe transition between acute and post acute care. Penn Medicine uses an Acute Transfer Tool to assure necessary information is included in the patient transfer such as:

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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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