Bundled Payment Pilot

"A Tale of Two Cities" – How Two Hospitals in Different Locations Approached Bundled Payment Strategies

Emerging Payment Models for ACOs and Bundled Payments

At the recent Becker’s Hospital Review Annual Meeting in Chicago, several presentations covered accountable care organizations, bundled payments and other new payment methodologies. Although not described specifically in these presentations, two different payment arrangements are emerging in which payers and providers are cooperating to reduce healthcare costs. This article compares and contrasts those payment methodologies.

Presentation on Bundled Payment at the Becker's Hospital Review Annual Meeting

At the recent Becker's Hospital Review Annual Meeting, Jon Pearce from Singletrack Analytics and Kelly Price from DataGen presented a session on "Leveraging Lessons Learned from Medicare's Bundled Payment Program".

Implications of CMS's Bundled Payment Pricing Methodology

Assessing Savings Opportunities in the Medicare Bundled Payment Initiative

Assessing savings opportunities in the Medicare bundled payment initiative

The Medicare Bundled Payment for Care Improvement (BPCI) initiative provides opportunities for participants to create financial advantages in several ways. This article describes the categories of these opportunities, the differences in strategies for approaching the opportunities, and some limitations on their potential for success.

Bundled Payment Analytics - the Effect of Risk Tracks and Outlier Limits on Payment and Incentives

This article was originally written in November, 2012 when the concept of outliers was initially proposed by CMS. Portions of the article were updated in June, 2013 after the proposal for multiple outlier limits were released.

One of the changes implemented by CMS in this round of the bundled payment application project is the introduction of outlier limits on episode costs. The original CMS proposal was for one set of outliers established at fifth and 95th percentiles of episode costs, but the current proposal establishes three outlier options:

Comments on H&HN Article about Bundled Payments

The current issue of Hospitals and Health Networks magazine contains an informative article about the broader issues involved in contracting with payers on a "bundled payment" basis.

What We Do and Don’t Know About the BPCI Program

It is now January 2013 and the “No-Risk” BPCI program has begun; how much more (or less) do we know about this program than we did nine months ago when CMS first issued its Request for Applications?  In this paper, we will list what we know and highlight the remaining uncertainties about the Medicare BPCI program.

Data:

CMS has released some information about the data to be provided to BPCI applicant awardees.

30 Day All-Cause Readmissions

Our friends at Strategic Business Alternatives have written an excellent series of articles about the opportunities and strategies for reducing 30-day readmissions.  In their three-part series on Medicare ACO Management: 30 Day All Cause Readmissions, they discuss the potential opportunity for cost savings, review several different models for addressing the problem, and some of the human and technological tools necessary to add

CMS Requests Comments on BPCI Data Formats

CMS has recently circulated an email to BPCI participants requesting comments on the data formats that will apparently be utilized for the reconciliation data distribution to be made in March, as well as the ongoing data to be provided to BPCI participants.

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