Blog Posts

CMS Delays Bundled Payment Expansion. What does it mean for you?

Tamara Cull
Vice President, Market Development

Did you see the news? This week, CMS announced that it’s delaying expansion of the Comprehensive Care for Joint Replacement (CJR) program. It’s also postponing the start of the new Episode Payment Model, which includes the Acute Myocardial Infarction (AMI) Model, the Coronary Artery Bypass Graft (CABG) Model, the Surgical Hip and Femur Fracture Treatment (SHFFT)

READ MORE

The early bird gets the bundled payment program worm

Tamara Cull
Vice President, Market Development

How can providers turn bundled payment program requirements into growth opportunities within value-based care? Get in early. The largest financial returns are realized in the first years of a bundled payment program, like CMS’ Bundled Payments for Care Improvement (BCPI). With an upcoming window to apply for the next BCPI program by April 30th, now

READ MORE

Are you already on your way to success with bundled payments?

Tamara Cull
Vice President, Market Development

Despite recent political shifts, bundled payment programs are likely here to stay as a practical step toward value-based care. Currently CMS is planning to implement an expansion July 1st of the mandatory CJR bundled payment model that launched in January. This will soon include additional joint surgery types under the CJR model and the new

READ MORE

Optimizing Medicaid Population Management

Augusta Kairys
SVP, Market Development, Health Plans

One bit of news we were happy to share recently had to do with the announcement that Optum is incorporating Medecision’s Aerial™ platform and applications into its newly unveiled Optum™ Medicaid Management Services (OMMS) solution. With OMMS, States looking for a Medicaid Management Information System (MMIS) are now free to concentrate on more effective Medicaid

READ MORE

Lunch with the Accountable Care Learning Collaborative

Drew Kraisinger
Vice President, Innovation & Strategy

Washington D.C. was all abuzz last Wednesday – not because of anything having to do with the presidential elections (for once) but because Wednesday saw the inaugural member meeting of the Accountable Care Learning Collaborative (ACLC). This nonprofit collaborative, housed at Western Governors University (WGU) and co-chaired by Governor Mike Leavitt, former Secretary of HHS,

READ MORE

Population Health: A Community Approach

Laura Kanov
Senior Vice President, Product Management

There are evolutions and revolutions taking place all the time in healthcare. New techniques. New therapeutics. New insights. In many cases, these new techniques and insights build on an already well-established foundation. A new technique is applied on top of an existing approach or a new therapeutic is introduced in place of another or in

READ MORE

Internet of Things and Healthcare

Murali Kurukunda

Connecting smart biological sensors to the internet is not a new idea. There are already dozens of products in the market that continuously monitor blood glucose and heart function, for example, and enable secure remote management for clinicians and caretakers. The safety of life implications are enormous, and the commercial opportunities untold. Some analysts predict

READ MORE