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The Healthcare Update eNewsletters are issued on a bi-monthly or monthly basis (depending on the topic). Each eNewsletter is distributed to a highly selective list of individuals specifically interested in readmissions, care coordination, bundled payments, Medicare-Medicaid, patient safety, pay-for-performandce, accountable care, and related issues.

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  • Bundled Payment Update eNewsletter
  • MACRA MIPS/APM Update eNewsletter
  • Pay for Performance Update eNewsletter

From January 26, 2017
Bundled Payment Update eNewsletter #93

3 Ways Bundled Payment Models Brought Hospital Cost Savings: Bundled Payment Models Led to Cost Savings Across Three Healthcare Systems.
Case studies of bundled payment models show significant cost savings among hospitals and both public and private health insurers. A case study published in the Journal of the American Medical Association Internal Medicine (see Abstract below) targeted determining the specific factors that reduce Medicare payments and lead to hospital savings in bundled payment models for joint replacement surgeries. Bundled payments provide a lump sum among providers for an episode of care instead of being paid for every service performed. Here researchers found that, out of 3942 patients undergoing joint replacements, hospitals were able to reduce total spending for an episode of care by $5,577. This represents a 20.8 percent decrease in spending within these particular bundled payment models. Baptist Health System, which consists of five hospitals located in San Antonio, Texas, undertook a bundled payment model to reduce costs and improve quality in joint replacement surgeries, according to The Commonwealth Fund. "By providing a lump sum for the delivery of all services needed to treat a medical condition or perform a procedure, bundled payment creates incentives for physicians, hospitals, and postacute care providers to collaborate to drive down costs and improve quality," according to the study. The Association of American Medical Colleges reported on how the NYU Langone Medical Center participated in the CMS Bundled Payment for Care Improvement initiative. Joe Bosco and Rich Iorio of New York University (NYU) Langone Medical Center discussed their experience with the Bundled Payment for Care Improvement initiative and their belief that bundled payment models would allow them to improve the quality of patient care. "For CMS, the biggest challenge was starting the BPCI program. The first proposals came out in 2011 but it was finalized only in late 2013," said Dave Terry, CEO of Archway Health. "The design, reconciliation, and sharing data were some of the challenges CMS encountered that are now reconciled. CMS spent time making sure providers have scale. Getting commercial plans climbing, learning scale and deciding on which episodes and which definitions to follow [is important] as well as creating provider networks." (HealthPayer Intelligence, January 16, 2107)

From January 23, 2017
MACRA MIPs/APM Update eNewsletter #9

Overview of MACRA MIPS/APM Challenges and Opportunities

Donald Crane, JD
President and Chief Executive Officer, CAPG

Barbara McAneny, MD
Managing Partner, New Mexico Oncology Hematology Consultants Ltd.

Harold D. Miller
President and CEO, Center for Healthcare Quality and Payment Reform

Elizabeth Mitchell
President and CEO, Network for Regional Healthcare Improvement

Kavita Patel, MD
Nonresident Senior Fellow, Brooking Institution

From January 12, 2017
Pay for Performance Update eNewsletter #93

Aligning Doctors to Achieve Health System Goals

Visit the request page to download a copy of this white paper.

Pay-for-Performance Mechanics

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