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Leveraging
Disruptive
Technologies to
Succeed in
Bundled Payments
Dylan Strecker
Consultant
March 2017
Agenda
Q & A
Conclusion
Technology At Different Levels of Care
Anatomy of a Joint Replacement Bundled Payment
Mandatory Bundled Payments
Let’s Start at The Beginning – One Year Ago
5 Years
68 MSAs
90 Day Episode Payment
788Participating Hospitals
CMS will provide hospitals
with a TARGET PRICE that
they must meet per episode.
April 1st 2016 – Comprehensive Care for Joint Replacement (CJR) Begins…
CMS Setting the Target Price
•2/3 Hospital
•1/3 Regional
Year 1
•2/3 Hospital
•1/3 Regional
Year 2
•1/3 Hospital
•2/3 Regional
Year 3
•All Regional
Year 4
•All Regional
Year 5
Each Year Target Pricing Moves Towards
Regional Pricing AND Stop Loss Increases
Variation Across the Country
Seattle, WA
Knee Replacement
Variation – Acute Only
Min
$22,570
Mean
$33,949
Max
$61,609
% Diff
185%
Fresno, CA: (Same Region as WA) – Mean = $19,653 w/ 1% Variation
Sample Exposure
Estimated Financial Exposure Over 5 Years for CJR
6
STRONG PERFORMER Year I Year II Year III Year IV Year V
Episode Price (Adjusted for Inflation) $25,464 $28,991 $31,751 $33,765 $37,057
Target Price (Assumes Quality Discount) $26,915 $29,392 $32,096 $35,050 $38,275
Stop Loss/Gain 0/+5% -5/+5% -10/+10% -20/+20% -20/+20%
Volume 355 380 406 435 465
OPPORTUNITY
Maximum Penalty Per Episode $0 $1,470 $3,210 $7,010 $7,655
Annual Opportunity (CMS Pays Hospital) $0 $558,448 $1,303,098 $3,049,350 $3,559,575
Hospitals are eligible are receive remuneration from CMS if the hospitals achieves
both COST and QUALITY metrics. Each year the stop gain will increase.
Sample Exposure
Estimated Financial Exposure Over 5 Years for CJR
7
THREAT
Maximum Penalty Per Episode $0 $1,470 $3,210 $7,010 $7,655
Annual Threat (Hospital Pays CMS) $0 $558,448 $1,303,098 $3,049,350 $3,559,575
POOR PERFORMER Year I Year II Year III Year IV Year V
Episode Price (Adjusted for Inflation) $27,464 $29,991 $32,751 $35,765 $39,057
Target Price (Assumes Quality Discount) $26,915 $29,392 $32,096 $35,050 $38,275
Stop Loss 0% 5% 10% 20% 20%
Volume 355 380 406 435 465
It’s Starting to Sink In
Got All That?
8
Call For Speakers
November 1st 2016 - Future of Healthcare in Washington Call For Speakers
9
How much
could really
change in a
few months?
And The Winner Is
November 8th 2016 – Donald Trump elected the 45th President
10
Trump Wins in Stunning Upset
Congress and Executive Branch
Now in Republican Control
The Dots Are Spreading
December 20th 2016 – CABG, AMI, SHFFT Models Finalized
11
Selected for AMI-CABG Model
Number of WA Participants:22
Surgical Hip and Femur Fracture
Treatment (SHFFT) Model
Number of WA Participants:25
Newly Confirmed
Feb 10th – March 13th 2017 - Verma & Price Confirmed
12
• National health policy
consultant from Indiana
• Helped shape Medicaid
expansion in IN, OH, KY, TN
CMS: Seema Verma HHS: Tome Price
• Georgia Representative and
retired Orthopedic Surgeon.
• Opposed to Obamacare and
Mandatory Bundled Payments
Let’s Just Slow All This Down
March 20th 2017 – CMS Delays AMI and CABG Rollout & CJR Expansion
13
“This additional three-month delay is
necessary to allow time for additional
review, to ensure that the agency has
adequate time to undertake notice and
comment rulemaking to modify the
policy if modifications are warranted.”
– CMS Final Rule
Dead on Arrival
March 24th 2017 – Repeal of Obamacare Dies in House
14
“Nobody knew
that health care
could be so
complicated…”
-President Donald Trump
So What’s Next
Congress Choosing Between Payment Reform and Payment Cuts
15
Payment
Reform
Payment
Cuts
Providers accept alternative payment
models and move rapidly away from
fee-for-service status quo
Providers remain in fee-for-service
but face ever-more stringent
reimbursement cuts
Bundled Payments Aren’t Going Away
Bundled Payments are Low Hanging Fruit for Medicare and Insurers
16
MACRA
Bundled
Payments
ACO
CJR Estimated Medicare Savings
$343M over 5 Years
Cardiac and SHFFT Savings
$170M over 5 Years
Qualifies for APM Track
New HIT requirements in 2018
allow bundles to count toward
MACRA APM track
And Payers Are Already Adopting Them Too
Bundled Payments are Low Hanging Fruit for Medicare and Insurers
17
The $1,000,000 Question
18
What does it take to succeed in Bundled Payments?
…or up to 20% of the Quality Adjusted Target Payment Over Actual Spend
Improve Acute Care Cost Patient Engagement
Telehealth Post Acute Management
Follow The Money
Concrete Example: CJR bundles to pay $25k per episode:
19
• Inpatient hospital stay: $13,193
• Skilled nursing facility: $5,034
• Inpatient rehabilitation facility:
$1,568
• Home health agency: $2,123
• Physician: $1,675
• Hospital readmissions: $1,155
• Outpatient: $604
• Durable medical equipment: $122
http://www.beckersspine.com/orthopedic-spine-practices-improving-profits/item/30556-cjr-
bundles-to-pay-25k-per-episode-8-statistics-on-cost-breakdown.html
Follow The Money
Another Way of Looking at the Bundle
20
• Pre-Op: $?,???
• Acute: $13,193
• Post Acute: $ 9,934
The Average CJR Bundle
ACUTE POST ACUTE OTHER
What investments are
organizations making
and where along the
care continuum are
they placing them?
Most of the current technology that is making a splash in healthcare is on the pre and
post hospitalization side where market entry and regulations are easier.
Pre-Op Acute
Post
Acute
21
Disruptive Technologies in the Pre-Procedure Arena
Engaging the Patient Before They Hit The Floor
22
• Transparency Websites
• Healthcare Cost
• Healthcare Outcomes
• Crowdsourced Review Websites
• Consumer Healthcare Shopping
• Bundled Procedure Episodes
Living Under A Microscope
Consumers Have More Access to Information than Ever Before
23https://healthcarebluebook.com/page_ProcedureDetails.aspx?c
ftid=28&g=Total%20Hip%20Replacement&directsearch=true
E-Harmony for Patient Care
Doctors Routinely Update Profiles to Attract Patients
24
https://www.healthgrades.com/physician/dr-robert-tait-x34k2
Nearly Half of Patients Use Crowdsource Clinical Reviews
Consumers Have More Access to Options than Ever Before
25
“According to a survey performed by
Softwareadvice.com in 2013 and
2014,1 the percentage of patients
using online reviews to find their
physician increased from 25% to 42%.”
JAMA Facial Plast Surg. Published online January 26, 2017.
doi:10.1001/jamafacial.2016.2039
Shopping for a Hip Just Like a Car
Consumers Can Now Buy and Bid for Care Online
26
Request A Price Estimate Online
27
Next Evolution
ZendyHealth was started by a
Cedars-Sinai affiliate. It utilizes
a “Pick You Price” tool similar
to travel websites.
Surgery Center of Oklahoma
directly advertises their Total
Knee replacement cost directly
on their website.
Identifying Partners in Pre-Acute Care
People Now Have Healthcare Options on Every Corner
28
Urgent Care
• Zoom Clinic
• Mend
• OrthoNow
Retail Clinics
• Walgreens
• CVS
• Bartell Drugs
Physician
Hailing
• Pager.com
• Med Zed
Leveraging new “disruptive” services as part of the care team will become common.
Pre-Op Acute
Post
Acute
29
Technology Investments to Control Acute Spend
Tools That Organizations Are Using To Address Acute Cost of Joint Replacement
30
• Artificial Intelligence
• Clinical Pathways
• Patient Selection
• Business Intelligence
• Clinical and Financial Dashboards
• Health Information Exchanges
• Reduced Ordering of Duplicate Labs
• Rapid Medicine Reconciliation
But First You Must Work to Understand You Cost
The Most Effective Tools Sit On Top of Robust Systems Using Activity Based Costing
31
Cost Productivity
Information Is Essential
To Improve Service Cost
Performance In An Era
Of Shifting Service
Volumes and Locations
http://www.himssconference.org/sites/himssconference/files
/pdf/230_0.pdf
Artificial Intelligence – Clinical Pathways
Computing Power has Now Caught Up
32
Artificial Intelligence – Clinical Pathways
Internal Benchmarking and Pathway Discovery to Optimize Care
33
In this example multiple distinct
care pathways were identified using
unsupervised learning techniques.
One stood out as optimal when
solving for cost and quality metrics.
The organization was able to share
with the care team and rapidly
improve the care pathways.
https://www.amga.org/docs/Meetings
/AC/2017/Handouts/Stewart_Campion
.pdf
Risk Stratification– Clinical Calculators
EMR Integrated Index Tools to Predict Readmissions
34
L.A.C.E. scores each of the variables
based on various criteria for each
patient encounter to arrive at the
probability of the patient getting
readmitted within 30 days of
discharge.
http://blog.syntelinc.com/leveraging-the-lace-algorithm-for-
readmission-prediction/
Business Intelligence Platforms
Democratizing Data to Put it In the Hands of The People That Need It
35
Organizations around the country
are taking steps to serve data in a
more user friendly and intuitive
way.
Integration of the “Internet of
Things” creating scenarios of real
time patient interventions
https://www.hc1.com/wp-content/uploads/2016/10/Screen-
Shot-2016-10-06-at-4.47.01-PM.png
Business Intelligence Platforms
Best Practice Dictates That Reporting Should Be Role Specific
36
Don’t spend six months building a
dashboard without figuring out
what the user wants and what is
important to them.
Leverage the process to finds gaps
in your data capture process…and
then act upon.
https://www.geisinger.org/
Pre-Op Acute
Post
Acute
37
Technologies to Manage Post Discharge
Hospitals To Be The New Big Brother of Healthcare
38
• Displacing Current Care Models
• Physical Therapy
• Home Health
• Post-Op Visits
• Engaging Patient
• Outcomes Monitoring
• Medication Adherence
• Smart Devices and Wearables
Physical Therapy in Front of Your TV
Gamification Meets Proactive Rehab
39http://reflexionhealth.com/our-solution/
Patient is using a commercially available
Xbox to complete Physical Therapy.
Patient progress is tracked automatically
and share with care team. The system
can even generate alerts when progress
is not tracking as planned.
Eliminate the Non-Urgent Follow Up
Eliminating Wasted Time and Unneeded Visits is Key to Post Op Management
40http://captureproof.com/cjr-solution/
Using Asynchronous Telemedicine allows
the clinical staff to monitor and track
patients remotely.
These types of interventions have been
noted to reduce “Bundle Killers” like
readmissions from surgical
complications.
Capturing Patient Scores Before CMS Does
Topic Domain Overlap Provides Hospital With an Opportunity to Intervene Rapidly
41
Study in Brief: Yelp Reviews Of Hospital Care Can Supplement And Inform
Traditional Surveys Of The Patient Experience Of Care
•Published in Health Affairs, April 2016
•Analysis of 16,862 hospital Yelp reviews, HCAHPS scores for 1,352 hospitals
•Moderate correlation found between Yelp, HCAHPS scores
http://wwbp.org/papers/yelp_reviews_2016.pdf
Patient Reported Outcomes
Additional Incentive for Hospitals and Clinics to Capture PRO
42
Bundled Payment Pilots also carry
quality incentives as well as
incentives for reporting certain
scores.
New tools allow for patient
engagement and real-time tracking
of patient recovery.
Capture Dates:
0-3 Months Before Surgery
9-12 Months After Surgery
Pre-Op Acute
Post
Acute
43
So What’s Going To Happen With Bundled Payments
“85 percent of all traditional
Medicare payments will be
tied to quality or value by
2016 and 90 percent by 2018
through programs such as
Hospital Value Based
Purchasing and Hospital
Readmissions Reduction.”
-HHS Annual Update
MACRA
Bundled
Payments
ACO
Where Should Our Efforts Be Focused First
Recommended Order:
First: Acute
Second: Post Acute
Third: Pre-Op
Critical Stakeholders:
Physician Buy In
Post-Acute Partners
Closing: The Winning Items Needed to Succeed
Cost and Quality Data
Physician Engagement
Patient Engagement
BI or AI
Reporting System
Post – Acute Patient
Management
Solution
Pre Op Engagement
Strategy
End
Questions
Dylan Strecker, MHA, MSHI
425-802-1518 (M)
Dylan.Strecker@Dynafios.com
https://www.linkedin.com/in/dylanstrecker
48

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Leveraging Disruptive Technologies to Succeed In Bundled Payments

  • 1. Leveraging Disruptive Technologies to Succeed in Bundled Payments Dylan Strecker Consultant March 2017
  • 2. Agenda Q & A Conclusion Technology At Different Levels of Care Anatomy of a Joint Replacement Bundled Payment Mandatory Bundled Payments
  • 3. Let’s Start at The Beginning – One Year Ago 5 Years 68 MSAs 90 Day Episode Payment 788Participating Hospitals CMS will provide hospitals with a TARGET PRICE that they must meet per episode. April 1st 2016 – Comprehensive Care for Joint Replacement (CJR) Begins…
  • 4. CMS Setting the Target Price •2/3 Hospital •1/3 Regional Year 1 •2/3 Hospital •1/3 Regional Year 2 •1/3 Hospital •2/3 Regional Year 3 •All Regional Year 4 •All Regional Year 5 Each Year Target Pricing Moves Towards Regional Pricing AND Stop Loss Increases
  • 5. Variation Across the Country Seattle, WA Knee Replacement Variation – Acute Only Min $22,570 Mean $33,949 Max $61,609 % Diff 185% Fresno, CA: (Same Region as WA) – Mean = $19,653 w/ 1% Variation
  • 6. Sample Exposure Estimated Financial Exposure Over 5 Years for CJR 6 STRONG PERFORMER Year I Year II Year III Year IV Year V Episode Price (Adjusted for Inflation) $25,464 $28,991 $31,751 $33,765 $37,057 Target Price (Assumes Quality Discount) $26,915 $29,392 $32,096 $35,050 $38,275 Stop Loss/Gain 0/+5% -5/+5% -10/+10% -20/+20% -20/+20% Volume 355 380 406 435 465 OPPORTUNITY Maximum Penalty Per Episode $0 $1,470 $3,210 $7,010 $7,655 Annual Opportunity (CMS Pays Hospital) $0 $558,448 $1,303,098 $3,049,350 $3,559,575 Hospitals are eligible are receive remuneration from CMS if the hospitals achieves both COST and QUALITY metrics. Each year the stop gain will increase.
  • 7. Sample Exposure Estimated Financial Exposure Over 5 Years for CJR 7 THREAT Maximum Penalty Per Episode $0 $1,470 $3,210 $7,010 $7,655 Annual Threat (Hospital Pays CMS) $0 $558,448 $1,303,098 $3,049,350 $3,559,575 POOR PERFORMER Year I Year II Year III Year IV Year V Episode Price (Adjusted for Inflation) $27,464 $29,991 $32,751 $35,765 $39,057 Target Price (Assumes Quality Discount) $26,915 $29,392 $32,096 $35,050 $38,275 Stop Loss 0% 5% 10% 20% 20% Volume 355 380 406 435 465
  • 8. It’s Starting to Sink In Got All That? 8
  • 9. Call For Speakers November 1st 2016 - Future of Healthcare in Washington Call For Speakers 9 How much could really change in a few months?
  • 10. And The Winner Is November 8th 2016 – Donald Trump elected the 45th President 10 Trump Wins in Stunning Upset Congress and Executive Branch Now in Republican Control
  • 11. The Dots Are Spreading December 20th 2016 – CABG, AMI, SHFFT Models Finalized 11 Selected for AMI-CABG Model Number of WA Participants:22 Surgical Hip and Femur Fracture Treatment (SHFFT) Model Number of WA Participants:25
  • 12. Newly Confirmed Feb 10th – March 13th 2017 - Verma & Price Confirmed 12 • National health policy consultant from Indiana • Helped shape Medicaid expansion in IN, OH, KY, TN CMS: Seema Verma HHS: Tome Price • Georgia Representative and retired Orthopedic Surgeon. • Opposed to Obamacare and Mandatory Bundled Payments
  • 13. Let’s Just Slow All This Down March 20th 2017 – CMS Delays AMI and CABG Rollout & CJR Expansion 13 “This additional three-month delay is necessary to allow time for additional review, to ensure that the agency has adequate time to undertake notice and comment rulemaking to modify the policy if modifications are warranted.” – CMS Final Rule
  • 14. Dead on Arrival March 24th 2017 – Repeal of Obamacare Dies in House 14 “Nobody knew that health care could be so complicated…” -President Donald Trump
  • 15. So What’s Next Congress Choosing Between Payment Reform and Payment Cuts 15 Payment Reform Payment Cuts Providers accept alternative payment models and move rapidly away from fee-for-service status quo Providers remain in fee-for-service but face ever-more stringent reimbursement cuts
  • 16. Bundled Payments Aren’t Going Away Bundled Payments are Low Hanging Fruit for Medicare and Insurers 16 MACRA Bundled Payments ACO CJR Estimated Medicare Savings $343M over 5 Years Cardiac and SHFFT Savings $170M over 5 Years Qualifies for APM Track New HIT requirements in 2018 allow bundles to count toward MACRA APM track
  • 17. And Payers Are Already Adopting Them Too Bundled Payments are Low Hanging Fruit for Medicare and Insurers 17
  • 18. The $1,000,000 Question 18 What does it take to succeed in Bundled Payments? …or up to 20% of the Quality Adjusted Target Payment Over Actual Spend Improve Acute Care Cost Patient Engagement Telehealth Post Acute Management
  • 19. Follow The Money Concrete Example: CJR bundles to pay $25k per episode: 19 • Inpatient hospital stay: $13,193 • Skilled nursing facility: $5,034 • Inpatient rehabilitation facility: $1,568 • Home health agency: $2,123 • Physician: $1,675 • Hospital readmissions: $1,155 • Outpatient: $604 • Durable medical equipment: $122 http://www.beckersspine.com/orthopedic-spine-practices-improving-profits/item/30556-cjr- bundles-to-pay-25k-per-episode-8-statistics-on-cost-breakdown.html
  • 20. Follow The Money Another Way of Looking at the Bundle 20 • Pre-Op: $?,??? • Acute: $13,193 • Post Acute: $ 9,934 The Average CJR Bundle ACUTE POST ACUTE OTHER What investments are organizations making and where along the care continuum are they placing them? Most of the current technology that is making a splash in healthcare is on the pre and post hospitalization side where market entry and regulations are easier.
  • 22. Disruptive Technologies in the Pre-Procedure Arena Engaging the Patient Before They Hit The Floor 22 • Transparency Websites • Healthcare Cost • Healthcare Outcomes • Crowdsourced Review Websites • Consumer Healthcare Shopping • Bundled Procedure Episodes
  • 23. Living Under A Microscope Consumers Have More Access to Information than Ever Before 23https://healthcarebluebook.com/page_ProcedureDetails.aspx?c ftid=28&g=Total%20Hip%20Replacement&directsearch=true
  • 24. E-Harmony for Patient Care Doctors Routinely Update Profiles to Attract Patients 24 https://www.healthgrades.com/physician/dr-robert-tait-x34k2
  • 25. Nearly Half of Patients Use Crowdsource Clinical Reviews Consumers Have More Access to Options than Ever Before 25 “According to a survey performed by Softwareadvice.com in 2013 and 2014,1 the percentage of patients using online reviews to find their physician increased from 25% to 42%.” JAMA Facial Plast Surg. Published online January 26, 2017. doi:10.1001/jamafacial.2016.2039
  • 26. Shopping for a Hip Just Like a Car Consumers Can Now Buy and Bid for Care Online 26
  • 27. Request A Price Estimate Online 27 Next Evolution ZendyHealth was started by a Cedars-Sinai affiliate. It utilizes a “Pick You Price” tool similar to travel websites. Surgery Center of Oklahoma directly advertises their Total Knee replacement cost directly on their website.
  • 28. Identifying Partners in Pre-Acute Care People Now Have Healthcare Options on Every Corner 28 Urgent Care • Zoom Clinic • Mend • OrthoNow Retail Clinics • Walgreens • CVS • Bartell Drugs Physician Hailing • Pager.com • Med Zed Leveraging new “disruptive” services as part of the care team will become common.
  • 30. Technology Investments to Control Acute Spend Tools That Organizations Are Using To Address Acute Cost of Joint Replacement 30 • Artificial Intelligence • Clinical Pathways • Patient Selection • Business Intelligence • Clinical and Financial Dashboards • Health Information Exchanges • Reduced Ordering of Duplicate Labs • Rapid Medicine Reconciliation
  • 31. But First You Must Work to Understand You Cost The Most Effective Tools Sit On Top of Robust Systems Using Activity Based Costing 31 Cost Productivity Information Is Essential To Improve Service Cost Performance In An Era Of Shifting Service Volumes and Locations http://www.himssconference.org/sites/himssconference/files /pdf/230_0.pdf
  • 32. Artificial Intelligence – Clinical Pathways Computing Power has Now Caught Up 32
  • 33. Artificial Intelligence – Clinical Pathways Internal Benchmarking and Pathway Discovery to Optimize Care 33 In this example multiple distinct care pathways were identified using unsupervised learning techniques. One stood out as optimal when solving for cost and quality metrics. The organization was able to share with the care team and rapidly improve the care pathways. https://www.amga.org/docs/Meetings /AC/2017/Handouts/Stewart_Campion .pdf
  • 34. Risk Stratification– Clinical Calculators EMR Integrated Index Tools to Predict Readmissions 34 L.A.C.E. scores each of the variables based on various criteria for each patient encounter to arrive at the probability of the patient getting readmitted within 30 days of discharge. http://blog.syntelinc.com/leveraging-the-lace-algorithm-for- readmission-prediction/
  • 35. Business Intelligence Platforms Democratizing Data to Put it In the Hands of The People That Need It 35 Organizations around the country are taking steps to serve data in a more user friendly and intuitive way. Integration of the “Internet of Things” creating scenarios of real time patient interventions https://www.hc1.com/wp-content/uploads/2016/10/Screen- Shot-2016-10-06-at-4.47.01-PM.png
  • 36. Business Intelligence Platforms Best Practice Dictates That Reporting Should Be Role Specific 36 Don’t spend six months building a dashboard without figuring out what the user wants and what is important to them. Leverage the process to finds gaps in your data capture process…and then act upon. https://www.geisinger.org/
  • 38. Technologies to Manage Post Discharge Hospitals To Be The New Big Brother of Healthcare 38 • Displacing Current Care Models • Physical Therapy • Home Health • Post-Op Visits • Engaging Patient • Outcomes Monitoring • Medication Adherence • Smart Devices and Wearables
  • 39. Physical Therapy in Front of Your TV Gamification Meets Proactive Rehab 39http://reflexionhealth.com/our-solution/ Patient is using a commercially available Xbox to complete Physical Therapy. Patient progress is tracked automatically and share with care team. The system can even generate alerts when progress is not tracking as planned.
  • 40. Eliminate the Non-Urgent Follow Up Eliminating Wasted Time and Unneeded Visits is Key to Post Op Management 40http://captureproof.com/cjr-solution/ Using Asynchronous Telemedicine allows the clinical staff to monitor and track patients remotely. These types of interventions have been noted to reduce “Bundle Killers” like readmissions from surgical complications.
  • 41. Capturing Patient Scores Before CMS Does Topic Domain Overlap Provides Hospital With an Opportunity to Intervene Rapidly 41 Study in Brief: Yelp Reviews Of Hospital Care Can Supplement And Inform Traditional Surveys Of The Patient Experience Of Care •Published in Health Affairs, April 2016 •Analysis of 16,862 hospital Yelp reviews, HCAHPS scores for 1,352 hospitals •Moderate correlation found between Yelp, HCAHPS scores http://wwbp.org/papers/yelp_reviews_2016.pdf
  • 42. Patient Reported Outcomes Additional Incentive for Hospitals and Clinics to Capture PRO 42 Bundled Payment Pilots also carry quality incentives as well as incentives for reporting certain scores. New tools allow for patient engagement and real-time tracking of patient recovery. Capture Dates: 0-3 Months Before Surgery 9-12 Months After Surgery
  • 44. So What’s Going To Happen With Bundled Payments “85 percent of all traditional Medicare payments will be tied to quality or value by 2016 and 90 percent by 2018 through programs such as Hospital Value Based Purchasing and Hospital Readmissions Reduction.” -HHS Annual Update MACRA Bundled Payments ACO
  • 45. Where Should Our Efforts Be Focused First Recommended Order: First: Acute Second: Post Acute Third: Pre-Op Critical Stakeholders: Physician Buy In Post-Acute Partners
  • 46. Closing: The Winning Items Needed to Succeed Cost and Quality Data Physician Engagement Patient Engagement BI or AI Reporting System Post – Acute Patient Management Solution Pre Op Engagement Strategy
  • 47. End
  • 48. Questions Dylan Strecker, MHA, MSHI 425-802-1518 (M) Dylan.Strecker@Dynafios.com https://www.linkedin.com/in/dylanstrecker 48