The Remedy Partners Way: Networks, People, and Episode Tools Help Patients Recover at Home, Avoid Rehospitalization
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
We Must Do More to Help Our Most Vulnerable Seniors Recover With Dignity and Compassion
In my 30 years as a physical therapist, I have often been asked to review cases on behalf of my fellow practitioners. One recent case in particular tugged at my heartstrings because it exemplifies the damage that can be done when we fail to put patients at the center of care, and instead treat to payment incentives. This patient, whom I’ll call “Edna,” had been discharged to a skilled nursing facility (SNF) after a hip replacement to repair her fractured hip. Edna had exhausted the 100 days of skilled therapy covered under Medicare Part A. As she transitioned to hospice care on day 102, the orthopedic surgeon wanted to know what had gone wrong.
White paper co-authored by Shawn Matheson of Remedy Partners and published by Leavitt Partners
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.
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.
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.
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.
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)
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.
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: