7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.
Analysis: Timeline for CMS’s mandatory radiation oncology model appears to slip
It’s not surprising CMMI has slowed its pace on finalizing the proposed mandatory radiation oncology payment model given the complexity of the model and stakeholder opposition.
Analysis: More options for providers looking to directly contract with employers for episodes of care
Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.
4 goals for bundled payment: How a hospital succeeded under BPCI-A
Abington Hospital has enjoyed success under the Bundled Payments for Care Improvement Advanced model by focusing on four key goals, including identifying episodes with sufficient opportunities to reduce costs below CMS’s target prices.
How CMS sets the target price for bundles under BPCI-A
Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.
3 features that distinguish BCPI-A from its predecessor
There are three primary ways in which the Bundled Payments for Care Improvement Advanced (BCPI-A) differs from the original BPCI model.
How to present data to physicians to obtain their buy-in for a BCPI-A initiative
Healthcare administers should take four actions when presenting data to physicians to elicit their support for a initiative under the Bundled Payments for Care Improvement Advanced model.
Only a tiny share of hospital revenue is risk-based: Moody’s
Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.
Proposed mandatory models should be voluntary or delayed, providers say
The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.
Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk
: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.