Single Tracks Blog Archive

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).

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:

Using Data to Develop CJR Strategies - 5 Steps to Take Now

About 800 hospitals are staring down the barrel of the Medicare Comprehensive Care for Joint Replacement (CJR) payment program, which will be implemented on April 1. Those hospitals that have gone through the somewhat-arduous process of signing up to receive their claims data and downloading it from the CMS portal now have the opportunity to use that data to begin to understand their CJR episodes of care and to design a strategy for success under the program. The steps below outline the beginning of a data-driven strategy for CJR.

Making Sense of Your First BPCI Reconciliation

BPCI participants who started in April 2015 are now eagerly awaiting their first reconciliation, which is scheduled to be released by January 1. Here's an overview of what you'll get with that first reconciliation.

Unravelling the Mysteries of BPCI Reconciliation

By Jonathan W. Pearce, CPA, MBA, FHFMA and Jessica Walradt, MS

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