Toward Accountable Payment

About This Blog

Welcome to Toward Accountable Payment, the official blog of the Medicare Payment Innovation Project. The project is an ongoing initiative to study provider payment reform and support organizations engaging in innovative payment programs.

Subscribing to the blog is the easiest way to learn about our latest insights, resources, and events. Members can sign up by highlighting "Your Preferences" in the navigation bar at the top of the page, clicking on "Subscriptions," and checking the box next to "Toward Accountable Payment" under the "Blogs Alerts" section.

Please call, tweet, or email me with any questions, comments, or topics you would like to see addressed on the blog.

Rob Lazerow
202-266-6626 | lazerowr@advisory.com

Recent Posts

Survey results: Percentage of providers taking on risk doubled since 2011

on June 5, 2013  |  Permalink

Topics: Bundled Payments, Market Trends, Strategy, Shared Savings Model, Pay-for-Performance, Risk-Based Contracting

Jordan Stone

We've already received over 110 responses from senior health care executives to our 2013 Accountable Payment Survey—an ongoing benchmarking initiative to demonstrate where our industry stands in the move toward payment reform, and where its leaders expect to go in the coming years.

While the group appears similar in size and composition to the 2011 participant pool, initial data suggests that attitudes toward risk have changed significantly.

Continue reading:
Survey results: Percentage of providers taking on risk doubled since 2011

BPCI update: Three-month delay, fewer metrics to report

on April 30, 2013  |  Permalink

Topics: Payer and Regulatory Policy, Market Trends, Strategy, Risk-Based Contracting, Health Care Reform, Finance, Bundled Payments

Jordan Stone

Yesterday, the Center for Medicare and Medicaid Innovation (CMMI) announced two significant changes to its largest accountable payment program, the Bundled Payments for Care Improvement (BPCI) initiative. There are currently more than 450 providers slated to participate in the program, which reimburses entire episodes of care—in some cases including all related physician services, readmissions, and post-acute care—at a single rate.

Continue reading:
BPCI update: Three-month delay, fewer metrics to report

Are Medicare bundling programs embracing—or avoiding—medical conditions?

Rob Lazerow on March 21, 2013  |  Permalink

Topics: Finance, Bundled Payments, Market Trends, Strategy, Risk-Based Contracting, Health Care Reform

Rob Lazerow and Jordan Stone

In our initial analysis of the clinical conditions selected by BPCI participants, we were surprised to find that nearly half of selected conditions were medical rather than surgical. This was a clear departure from earlier Medicare and private sector bundling programs, which focused almost exclusively on surgical care.

Although BPCI includes a near even split of medical versus surgical care as a whole, this trend is heavily influenced by the 165 post-acute care providers participating in Model 3. In fact, we find very different participation trends when we narrow our focus to acute care providers, the organizations selected to participate in Models 2 and 4.

Continue reading:
Are Medicare bundling programs embracing—or avoiding—medical conditions?