Single Tracks Blog Archive

Physician Risk-Sharing in Medicare Bundled Payment Programs

I was quoted in an article entitled "Bundled Payments: What Doctors Need to Now" in the April 2017 issue of Medical Economics, which offers some guidelines to physicians about participation in these programs. This article expands on some points made there, and provide some additional considerations for physicians who may wish to participate in these programs.

Data Availability for Medicare Bundled Payment - Interview

This interview with Jonathan Pearce occurred at the Interdisciplinary Summit on Orthopedic Value-Based Care in Newport Beach CA on January 21 2017. At that conference Jon presented on "Using Data to Develop CJR Strategies - 5 Things to Know" and "How Analytics Can Support Physicians"

The Future of Bundled Payment in the Trump Administration

Many of us in the bundled payment world had barely overcome our surprise at the presidential election results when we heard of the selection of Dr. Tom Price as HHS Secretary. As a component of the much-larger Affordable Care Act, we had hoped that the bundled payment programs would be “under the radar” and might not receive significant attention, at least until later in the administration. But Dr.

Major Joint Replacement By the Numbers - Bundled Payment Summit Presentation

An overview of the major metrics involved in assessing risk and opportunity in the major joint replacement episodes involved in the Comprehensive Care for Joint Replacement and Bundled Payment for Care Improvement programs, from the point of view of the analytical team, physician leaders, and finance and operations management.

Presented at the National Bundled Payment Summit, Washington DC, June 8 2016

Presenters:

Risks and Opportunities in Medicare’s Cardiac Bundled Payment Program

Jonathan W. Pearce, CPA, FHFMA

Introduction

In July 2016 CMS released a Notice of Proposed Rulemaking (NPRM) of its intent to implement a mandatory bundled payment program for specified cardiology and cardiac surgery services, along with several other programs. These Episode Payment Models (EPMs) will begin in July 2017 for almost all hospitals located in 98 selected metropolitan statistical areas (MSAs).

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