Betting on Bundled PaymentMany are wagering that bundled payment will help reduce healthcare costs and improve quality. A Leadership infographic details the research to date on the effectiveness of bundled payment and shares three risk strategies for providers that engage in this new payment approach.
Methodist Le Bonheur Healthcare, in Memphis, Tenn., partners with the Congregational Health Network, a group of 500 churches and other faith-based organizations throughout the region to address the socially complex issues that drive residents to seek out emergency departments for routine care.
Their efforts are paying off: Residents served by the network have 20 percent fewer readmissions and half the crude mortality rate, compared with non-network patients. Their median time for readmission is 120 days less for all diagnosis-related groups, compared with the total population. And the health system has saved about $4 million a year, or about $8,000 per capita, in charity care write-offs.
Rising to the Challenge
nurses, and other clinicians are in prime positions to distinguish between the
elements of health care that benefit patients and those that are wasteful and
potentially dangerous, says Donald Berwick
MD, former CMS administrator and healthcare quality improvement expert.
“Just like hospitals
are being forced more and more to think about business models that are not
volume-based, so physicians have to think about their roles in the larger
system—teamwork, exchange of information, and how to be a leader in cost
reduction without harming patients,” Berwick says.
Team Approach Builds Diagnostic Imaging Volume
Two Houston-area hospitals used similar strategies to revive their declining diagnostic imaging businesses. Believing that their hospitals had a quality edge over the competition, they set out to turn the hospitals’ imaging departments back into providers-of-choice for patients. Strategies included close communication with local physicians’ offices on the availability of same-day appointments and quicker turnaround times on radiology results.
American Express: Streamlining Supplier Payments and Boosting Revenue
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.
KPMG: Readying for Healthcare Today and Tomorrow
Dion Sheidy, a partner in KPMG's Healthcare Advisory practice, discusses healthcare's changing landscape and how having the right advisor can help organizations navigate challenges and opportunities.
Huron Healthcare: Readying Your Organization for Transformation
Gordon Mountford, executive vice president, Huron Healthcare, discusses business imperatives for undertaking transformative change.
Xtend Healthcare: A Custom Approach to Optimizing Revenue Cycle Performance
Tom O'Neill, CEO of Xtend Healthcare Advanced Revenue Solutions, discusses key areas where organizations risk revenue leakage and ways they can use outsourcing to better protect cash flow and support accurate payment.
KeyBank: Helping You to Realize Your Strategic Vision in Changing Times
Victoria Terekhova, senior strategist for Enterprise Healthcare at KeyBank, discusses key challenges when developing long-term strategy in a rapidly changing industry, and the role the right banking partner can play in helping healthcare providers navigate the opportunities before them.
SSI: Preparing the Revenue Cycle for Changing Payer Roles
Availity: Connect to the Future of Healthcare Information
Deloitte: Leveraging IT for Value-Based Care Transformation