About the Medicare Payment Innovation Project
Topics: Medicare, Reimbursement, Finance, Payer and Regulatory Policy, Market Trends, Strategy
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Full access to this content is reserved for Advisory Board members; we invite you to learn more by contacting us.
Message from the Project's Director
Rob Lazerow, Health Care Advisory Board
Welcome to the Medicare Payment Innovation Project, a peer working group for providers who are preparing for, or participating in, Medicare programs that evaluate emerging payment models. The Project’s principal objectives are to study the details and strategic implications of new payment programs and support organizations navigating the transition to accountable care.
The Project's research focuses primarily on enhanced pay-for-performance, bundled payments, and shared savings/ACOs. Below, you will find featured research on each of these payment models.
If your organization holds a membership in the Health Care Advisory Board, there is no cost for participating in the Project. The easiest way to stay up to date with the Project’s latest insights and events is to subscribe to our blog, Toward Accountable Payment.
How can we serve you? If you have any questions related to payment innovation, or if there is anything else we can do to assist you or your organization, please do not hesitate to contact me at (202) 266-6626 or lazerowr@advisory.com.
Featured Resource
Pay-for-Performance Resources
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Calculator/Forecaster
Access a facility-specific estimate of your incentive payment under CMS's Hospital Inpatient Value-Based Purchasing program and identify underlying quality measures driving suboptimal performance.
Infographic
Ever wondered how pay-for-performance programs like value-based purchasing and readmissions would affect U.S. hospitals and health systems? Check out our interactive map to find out.
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Calculator/Forecaster
Access a facility-specific estimate of your organization's penalty under CMS's Readmissions Reduction Program and view the underlying readmissions rates driving suboptimal performance.
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Blog Post
Learn about updates to hospital operating payments and new rules for the Hospital Value-Based Purchasing Program and Hospital Readmissions Reduction Program from CMS's inpatient prospective payment system proposed rule for fiscal year 2013.
Bundled Payment Resources
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Blog Posts
Nearly 18 months after its unveiling, Medicare's Bundled Payments for Care Improvement (BPCI) initiative is underway. Our experts have reviewed CMS's announcement and pulled out key takeaways.
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Expert Q&A
Trying to make sense of the bundled payment announcement, and how they compare to ACOs? In a Daily Briefing interview, Rob Lazerow explains the program's mechanics and offers additional context.
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Study
Evaluate the strategic implications of accepting bundled payments and explore key lessons for collaborating with physicians, post-acute care providers, and patients to thrive in a bundled payment environment.
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Calculator/Forecaster
Model the potential profitability of bundled payments, incorporating lessons from the ACE demonstration project.
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Blog Post
Review responses to questions about the Bundled Payments for Care Improvement Initiative.
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Blog Post
Learn about the payment mechanics of emerging bundled payment models, including the key differences among pricing bundles, retrospective reconciliation, and gainsharing within a bundled payment program.
Shared Savings Program/ACO Resources
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Study
A step-by-step guide to financing the transition to a new payment model, assembling the accountable care delivery system, and reconfiguring operations to transform care.
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Explore our Medicare ACO map, updated to include the 106 new ACOs announced in January 2013, and read four key takeaways about Medicare ACO growth.
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Study
Review key provisions of the final rule, including the method of patient assignment to ACOs, performance measures considered, method of bonus calculation, and application process.
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On-Demand Webconference
We've developed deep expertise while working alongside many of the 2012 Medicare Shared Savings participants. Listen to our experts to find out what you can learn from those who have gone before you.
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Decision Guide
Assess your institution’s readiness to build an accountable care infrastructure.
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Video
Outlines the key differences of the proposed Shared Savings rule and the final version.
