IT leaders: Let's get ready to bundle

Building a Prescriptive Analytics Model

As CMS continues to move away from fee-for-service, bundled payments are taking hold across government and commercial payers. The Centers for Medicare and Medicaid Services (CMS) continues to roll-out reimbursement programs that no longer pay per procedure, but rather provide for one lump-sum payment for the patient’s entire episode of care.

The Bundled Payments for Care Improvement (BPCI) and Comprehensive Care for Joint Replacement Model (CJR) are two key CMS programs that strive to provide better and more efficient care through quality measurements and care coordination.

Bundled payments require well-planned IT infrastructure to be successful in these new reimbursement methodologies. Because CMS intends to tie at least half of all Medicare payments to risk-based models—including bundled payments—by 2018, IT leaders must continue to invest in technologies and initiatives that enable episodic bundling.

Explore our "Let’s Get Ready to Bundle!" guide to see the steps that your health system can take to prepare for bundled payments.

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