Bundled Payment Manager

Bundled Payment Manager

Beginning on April 1, 2016, the Centers for Medicare and Medicaid Services (CMS) will begin the Comprehensive Care for Joint Replacement (CCJR) model. This model will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements and/or other major leg procedures from surgery through recovery.

The program is designed to:

  • Provide financial incentives to improve coordination of care for beneficiaries
  • Avoid post-surgical complications and hospital readmissions
  • Improve the patient experience through care redesign and coordination

 

PERSIVIA BUNDLED PAYMENT MANAGER KEEPS YOU INFORMED

In this first step toward value-based payments, under the CCJR model, participant hospitals would be the episode initiators and bear financial risk. Persivia offers an analytics tool to manage bundled payments throughout the year so there are no surprises during the end-of-year reconciliation with CMS.

 

PERSIVIA BUNDLED PAYMENT MANAGER BENEFITS:

  • Scalability – Enables your organization to see an overview of the entire health of your population or drill into an individual patient’s charges per service
  • Immediate Claims Data Capture – Data is continuously being updated and, in turn, you can see your performance progress
  • Dashboard Reporting – Dashboards allow you to quickly see how your organization is performing compared to internal baseline metrics as well as against regional and national metrics allowing you to make adjustments
  • Flexibility and Extensibility – Ability to support additional bundled payment provisions without the hassle of additional software integration

 

Interested in learning more about how you can manage bundled payments throughout the year? Contact us today!