Bundled Payments

Selected news for the healthcare topic - Bundled Payments, collected since 10/2017. There are 505 items in the archive. This healthcare topic shares news with Medicare, BPCI, Medicaid, UnitedHealthcare and dozens of others.

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Selected Headlines

Date Headline (link) Source Relevant Snippet
3/16/2022 Fee for service becoming a 'steady march to the bottom'; What's next for ASCs? Becker's ASC Review Physicians are clinging to fee-for-service payment to avoid the proverbial " race to the bottom " of bundled payments , which often cut pay rates.But fee-for-service contract rates haven't been much better."A careful review of reimbursement shows that fee-for-service is a steady march to the bottom without a foreseeable end," said Adam Bruggeman, MD. "We are working hard to be at the forefront of musculoskeletal ...
3/1/2022 Signify Health Completes Acquisition of Caravan Health | Business Wire Business Wire ... to total cost of care programs. The Company also will now be well-positioned to serve community hospitals, physician practices and clinics – entities who have been slower to adopt episodes of care and bundled payments due to lack of infrastructure to do so. With the completion of this acquisition, Signify Health now will support approximately $10 billion in total medical spend under management.“Giving providers a multi-payor solution ...
3/1/2022 Signify Health Completes Acquisition of Caravan Health Business Wire ... to total cost of care programs. The Company also will now be well-positioned to serve community hospitals, physician practices and clinics – entities who have been slower to adopt episodes of care and bundled payments due to lack of infrastructure to do so. With the completion of this acquisition, Signify Health now will support approximately $10 billion in total medical spend under management.“Giving providers a multi-payor solution ...
2/24/2022 Payers in spine surgery: A changing dynamic Beckers Spine Review CMS and commercial payers are trending toward bundled payments as the healthcare industry shifts from fee for service toward value-based care, while the notion of a single-payer system continues to be tossed around but is unlikely to become a reality in the near future.Four spine surgeons discuss emerging payer trends in the markets that they operate.Ask Spine Surgeons is a weekly series of questions posed to ...
9/17/2021 Keys to postoperative anesthesia success Becker's ASC Review ... order to avoid time deficiencies that CMS could audit, anesthesiologists should consistently add surgery end-time, operating room out-time and postanesthesia care unit in-time notes to their end-of-case documentation. Regarding bundled payments , CMS lists "post-anesthesia recovery care" as integral to every anesthesia code. Mr. Mira said this includes the time anesthesiologists spend with the patient in the recovery room before transferring care. Anesthesiologists also must ...
9/15/2021 CMS saved nearly $24M in joint replacement bundles at HSS between 2014 and 2019 Beckers Spine Review Value-based care can improve the quality of treatment for orthopedic surgery patients and reduce overall costs, according to findings from New York City-based Hospital for Special Surgery. Researchers assessed the clinical and financial effects of initiatives for hip and knee replacement patients between 2014 and 2019, according to a Sept. 15 news release. During that time, implementation of bundled payment programs at HSS saved CMS nearly $24 million ...
9/15/2021 HSS Study Identifies Successes of Value-Based Care Programs PR Newswire NEW YORK , Sept. 15, Value-based care initiatives can both improve the quality of treatment for patients undergoing orthopedic surgery and reduce overall costs -- if the financial incentives for payers and providers are aligned and hospitals have access to key data on utilization of resources and postoperative outcomes.That's the conclusion of a new study by researchers at Hospital for Special Surgery (HSS), in New York City , who assessed the ...
8/26/2021 Former Epic CFO joins EHR software company Becker's Hospital Review EHR software company Kipu welcomed Anita Pramoda, former CFO of Epic, to its board of directors, the company said Aug. 25. Ms. Pramoda is founder and CEO of Owned Outcomes, a software company for value-based care and bundled payments support. As Epic's former CFO, Ms. Pramoda led the Verona, Wis.-based EHR company's expansion into government and international markets and helped launch its mobile health IT products. Epic maintains ...
8/25/2021 Kipu Appoints Healthcare Technology Veteran Anita Pramoda to Board of Directors PR Newswire ... Kipu's CEO, Paul Joiner .A seasoned healthcare IT leader, Pramoda is founder and CEO of Owned Outcomes (O2), a software company that helps participating organizations win at various forms of value-based care including bundled payments . She was previously CFO at Epic Systems Corporation, a $3 billion+ healthcare IT company, which provides electronic medical records for over 50% of the U.S. population. Pramoda helped lead a period of significant domestic ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 - ResearchAndMarkets.com | Business Wire Business Wire ... healthcare is changing so rapidly and so is the role of case management in that world! Whether you are reading or hearing about value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments , transitions in care, or accountable care organizations, case management is at the center of it all!Because things are changing so rapidly, it can be a challenge to stay current and knowledgeable in the ...
8/25/2021 One Day Online Healthcare Case Management Boot Camp: Strategies for Success in the Acute Care Setting and Beyond, November 8, 2021 - ResearchAndMarkets.com Business Wire ... healthcare is changing so rapidly and so is the role of case management in that world! Whether you are reading or hearing about value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments , transitions in care, or accountable care organizations, case management is at the center of it all! Because things are changing so rapidly, it can be a challenge to stay current and knowledgeable in the ...
8/20/2021 Combining value-based payments can deliver better results, study finds Modern Healthcare Combining accountable care organizations and bundled payments can save more money and deliver better outcomes for patients than bundled payments on their own, according to a first-of-its-kind study published in JAMA Health Forum on Friday. Post-discharge spending for Medicare beneficiaries with a medical condition was 5%, or $323, lower on average if they were in an ACO and a bundled payment system at the same time ...
8/19/2021 Study: Private consultancies can influence hospital participation in CMS bundled payments model - MedCity News MedCity News Partnering with private consulting firms could prompt hospitals to participate in a greater number of episodes in a federal bundled payments program, according to new research .The voluntary Bundled Payments for Care Improvement initiative Advanced Model, or BPCI Advanced , compares spending for specific clinical episodes, like congestive heart failure or sepsis, with benchmarks set by the Centers for Medicare & Medicaid Services. Hospitals take on financial risk in the program — ...
8/18/2021 The federal price transparency rules have critical gaps that must be addressed to achieve their objectives Healthcare Dive ... desired levels of cost savings. Past transparency efforts have been disappointing. They've included providing consumers with a PDF list of providers’ fees for a service — excluding negotiated rates, episode-of-care or bundled payments , or personalization (i.e., the ability for members to view out-of-pocket costs based on their unique plan design and care received to date). Such lists do not constitute meaningful price transparency, nor do ...
8/17/2021 Mandatory bundled payments are coming. Is your SNF ready? McKnight's Long Term Care News Publish Date August 17, 2021 Mandatory bundled payments are coming. Is your SNF ready? Share on Twitter Print Sponsored by Sound Physicians You must be a registered member of McKnight's Long Term Care News to post a comment Please register or login first to post a comment. Login Register ...
8/7/2021 EHR automation is helping reduce clinician burden Healthcare IT News EHR automation is helping reduce clinician burden Photo: alvarez/Getty Images Regulatory demands, quality reporting requirements, and value-based bundled payments have prompted provider documentation initiatives to improve accuracy, yet these programs often exacerbate the already enormous administrative burden on physicians. To address both documentation accuracy and physician satisfaction, GBMC Healthcare implemented a clinical decision support documentation improvement program that uses artificial intelligence enabled clinical intelligence embedded into speech-to ...
8/5/2021 Thousands of physicians have joined the 3 biggest ASC companies in 2021 Becker's ASC Review ... an OptumCare company, has more than 250 surgical facilities and 8,500 physicians in its network. Many of the surgical facilities are ASCs focused on orthopedics, and earlier this year SCA welcomed Global 1, a bundled payments convener, to its organization. Brentwood, Tenn.-based Surgery Partners added 24 percent more new physicians during the first half of the year than the same period last year, according to CEO Eric Evans. "We ...
8/3/2021 Voluntary vs Mandatory Hospital Participation in Medicare's Bundled Payments Program and Episodic Spending for Joint Replacements jamanetwork.com ... achieve greater savings because they self-select into programs due to greater opportunity to reduce spending. However, no empirical data exist comparing savings under mandatory vs voluntary programs. In 2013, Medicare started the voluntary Bundled Payments for Care Improvement (BPCI) program, which included hip and knee joint replacements. In 2016, under the Comprehensive Care for Joint Replacement (CJR) program, Medicare randomized hospitals in 75 metropolitan statistical areas to receive mandatory ...
7/20/2021 5 key PE-orthopedic practice partnerships — The Steadman Clinic, Spine Nevada & more Beckers Spine Review ... Spine Nevada under private equity-backed Healthcare Outcomes Performance Co.'s Nevada care network . HOPCo aims to team with musculoskeletal practices, health systems and payors to develop value-based care programs — such as bundled payments , shared savings and population health — that improve quality and reduce the cost of care. 3. The Steadman Clinic in Vail, Colo., partnered in November 2019 with Orthopedic Care Partners, which is now the ...
7/9/2021 What billing challenges stifle outpatient spine migration? 2 surgeons' insights Beckers Spine Review ... few years will continue to march forward. However, as the outpatient spine surgical environment matures, certain challenges will need to be addressed. As CMS continues to modify healthcare payment models with a trend towards bundled payments , it will be incumbent on physicians to effectively preoperatively stratify patients by risk to prevent higher episodic costs under a bundled payment model. It is estimated that 30 percent to 45 percent of patients ...