The first stage of the Center for Medicare and Medicaid Innovation’s (CMMI) bundled payment initiative is complete. Post-acute providers are now shifting their focus to enacting the care process redesign and conducting the data analysis necessary to design and successfully manage the risk of a bundled episode of care.
In order to complete this by the application deadline, March 15, 2012, providers are narrowing their sights on areas of clinical strength that do not exhibit wide variation in cost. However, even with this narrower focus, the breadth of options for designing a care bundle–perhaps left purposefully broad by CMMI–ensures that the next few months will require rapid-fire decision-making and execution of care redesign processes.
To assist with these challenges at a high level, Health Dimensions Group is pleased to share our most recent white paper on bundled payment.
Providers interested in partnering with Health Dimensions Group (HDG) should express interest immediately in order to confirm a letter of engagement by December 5, 2011, past which HDG will be unable to take on new clients for the CMMI bundled payment initiative. Call 763.537.5700 today to allow for adequate time to complete the application process.
Read Health Dimensions Group’s recently published white paper to learn about imperatives for success for post-acute providers under bundled payment.
Jade Gong, MBA, RN, vice president of strategic initiatives at HDG, and Richard Burke, MA, MBA, president of senior care services at Fallon Community Health Plan in Worcester, Mass. co-authored an article that recently appeared in Advance for Long-Term Care Management. The article, Going the Distance, addressed ways PACE leaders can remain financially strong during this financial storm, with a focus on seven key considerations:
- Proactively reinforce and monitor doing the basics well.
- Top-line revenue must reflect participant acuity.
- Manage utilization of medical services with a best practices approach.
- Scrutinize the appropriateness of expenditures.
- Understand the unit costs of your medical expenses.
- Seek opportunities to leverage technology.
- Create an operations management dashboard.
Click here to read the complete article (requires a free account to access).
Building a Post-Acute Network: Care Management and ACOs
Download the White Paper
In March, the Centers for Medicare and Medicaid Service (CMS) released proposed rules for accountable care organization (ACO) provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (ACA). A new white paper issued by Health Dimensions Group serves as a high-level summary of the rules for ACOs and the shared savings program most relevant to post-acute providers.
Continue reading New White Paper Summarizes Proposed ACO Rules