Bundled Payments

Premier: Bundled Payment Models Should be Voluntary Nationwide

by Jacqueline LaPointe

Premier Healthcare Alliance recently offered CMS several recommendations for bundled payment model development, including making programs voluntary for providers across the nation. CMS has implemented...

Transradial, Same Day Discharge Cardiac Care Drops Costs by $3.7K

by Jacqueline LaPointe

From acute myocardial infarctions to coronary artery bypass grafts initiatives, recent Medicare bundled payment models have providers focusing more on reducing healthcare costs and improving care...

Key Considerations for Bundled Payment Model Adoption, Success

by Jacqueline LaPointe

As the value-based reimbursement transition pushes on, many provider organizations have turned to bundled payment models as a stepping stone to alternative payment model adoption. “Bundled...

CMS Unveils New Medicare APMs for Quality Payment Program

by Jacqueline LaPointe

CMS finalized several new Medicare alternative payment models that will qualify for a five percent value-based incentive payment through the Quality Payment Program. The announcement contained bundled...

Potential Challenges, Benefits of the Cardiac Bundled Payment

by Jacqueline LaPointe

Earlier this year, CMS proposed a cardiac bundled payment model that would reduce Medicare spending by $170 million on five years, but a new report in the Journal of the American Medical Association...

AMGA Voices Concerns Over Cardiac Care Bundled Payments Model

by Jacqueline LaPointe

With the comment period on a proposed cardiac care bundled payments model closing earlier this week, the American Medical Group Association (AMGA) penned a letter to CMS Acting Administrator Andy Slavitt...

Bundled Payments Model Cuts Joint Replacement Costs by $1,166

by Jacqueline LaPointe

Hospitals participating in the Bundled Payments for Care Improvement initiative decreased Medicare spending on lower extremity joint replacement hospitalizations by $1,166 per episode compared to...

CMS: Bundled Payments Model Will Decrease Medicare Spending

by Jacqueline LaPointe

The Bundled Payments for Care Improvement initiative has the potential to significantly reduce Medicare spending on 11 of 15 clinical episode groups that were analyzed in the program’s second...

Cardiac Care Bundled Payment Model to Generate Modest Savings

by Jacqueline LaPointe

The recently proposed Medicare bundled payment model for cardiac care will likely bring only modest shared savings or losses to participants, according to a study from Avalere Health. About 85 percent...

New Rules for Bundled Payment Models for Cardiac, Hip Care

by Jacqueline LaPointe

CMS has proposed to develop bundled payment models for cardiac care and hip surgeries that would qualify for financial incentives in the proposed Quality Payment Program in MACRA, according to a recent...

Finding a Place for Bundled Payments in MACRA Implementation

by Jacqueline LaPointe

As officials at the Centers for Medicare and Medicaid Services (CMS) sift through over 3,800 comments on the proposed rule for MACRA implementation, the Healthcare Incentives Improvement Institute (HCI3)...

Industry Group Advises HHS to Expand Bundled Payment Models

by Jacqueline LaPointe

The Center for American Progress (CAP), a Washington think tank, has called on the federal government to expand bundled payment models in order to further reduce healthcare costs and advance...

How to Address Challenges of Alternative Payment Models

by Jacqueline LaPointe

As the healthcare industry moves towards value-based care, more providers are choosing alternative payment models to facilitate the transition. CAPG, a trade association of accountable physician...

Survey: Value-Based Reimbursement to Eclipse FFS by 2020

by Jacqueline LaPointe

As federal agencies and commercial payers push to eliminate fee-for-service payment models, value-based reimbursement structures have been on the top of most healthcare provider and payer agendas. The...

Using Revenue Cycle Analytics for Effective Value-Based Care

by Vera Gruessner

The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers. There has been a much greater...

CMS Extends Deadline for Bundled Payment Models Participation

by Vera Gruessner

The federal government especially the Centers for Medicare & Medicaid Services (CMS) have long focused on reducing healthcare spending and implementing alternative payment models such as...

Bundled Payments Program Extended to Improve Value-Based Care

by Jacqueline LaPointe

The Centers for Medicare & Medicaid Services (CMS) recently announced that some healthcare organizations can extend their participation in the Bundled Payments for Care Improvement (BPCI) initiative,...

What Does the Rise of Bundled Payments Mean For Providers?

by Dr. Richard Wheeler, CMO of Verisk Health

One of the attributes of a sustainable value-based healthcare delivery system is payment based on the value of services delivered, instead of the volume-based fee-for-service model. Bundled payments...