Bundled payments represent a key opportunity – and a complex challenge – for providers to engage physicians and better connect care across the continuum
Did you know?
30% of Medicare payments are currently through alternative payment models (APMs), such as bundled payments
CMS' goal is for 50% of Medicare payments to go through APMs by 2018
Bundling payments for services that patients receive across a single episode of care – such as a hip replacement – puts the focus on the patient and encourages doctors, hospitals, and other providers to better coordinate inpatient and post-acute care (PAC). However, many providers lack the infrastructure needed to assume the levels of risk needed to successfully incorporate a bundling program, such as Medicare’s Bundled Payment for Care Improvement (BPCI) model. Is your health system ready for bundled payments? What are bundling best practices, lessons learned, and successes?
Baptist Health System, a clinically integrated network of 5 hospitals, 40+ orthopedic surgeons and multiple post-acute providers across San Antonio, partnered with Navigant to implement a Medicare Bundled Payment for Care Improvement (BPCI) total joint replacement bundle, including care 30 days post-discharge.
Engaged physicians to redesign care across continuum
Developed preferred network to coordinate care
Created shared savings methodology to distribute savings to partners