Download PDF by Michael Zucker,Jane Salmon,Jessica Papay,Patricia Donovan: Case Study in Bundled Payments: The Baptist Health System

By Michael Zucker,Jane Salmon,Jessica Papay,Patricia Donovan

ISBN-10: 1937229270

ISBN-13: 9781937229276

The distribution of gainshare exams to partaking Baptist wellbeing and fitness process physicians was once a 'Hallmark second' of the CMS Acute Care Episode (ACE) pilot, remembers Michael Zucker, senior vp and leader improvement officer. The ACE pilot validated bundled funds throughout particular episodes of care.

For firms contemplating participation within the 2011 CMS Bundled funds initiative, Case learn in Bundled funds: The Baptist wellbeing and fitness method adventure is key analyzing prior to submitting letters of purpose and purposes for CMS's new bundled money program.

This 24-page document files the care check event of Baptist well-being process within the CMS ACE demonstration pilot, which aligned check for companies added throughout episodes of care or "bundled" care. ACE fascinated with the cardiac and orthopedic diagnosis-related crew (DRGs), of the general public payor's such a lot common and biggest fee ailment areas.

Data from the ACE demonstration helped to put the basis for the CMS Bundled funds initiative introduced in August 2011.

A significant participant within the cardiac enviornment, having a bit over a 3rd of the cardiac marketplace percentage, Baptist well-being observed within the ACE demo a chance to achieve industry percentage, align prone in caliber and potency efforts, and increase sufferer pride. It signed directly to be one among 5 healthcare structures within the ACE pilot.

In Case research in Bundled funds: The Baptist overall healthiness procedure event, Zucker outlines the San Antonio-based five-hospital system's motivation for participation, the foremost rules of the ACE demonstration, the demanding situations and merits and good fortune recommendations and classes realized from the ACE demonstration — in addition to that 'Hallmark second' that generated buzz within the marketplace.

Zucker presents a frank examine the demanding situations of structuring funds, adjusting for severity, attractive physicians and owners, coordinating and negotiating companies and getting ready for transition to real-life application.

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Case Study in Bundled Payments: The Baptist Health System Experience by Michael Zucker,Jane Salmon,Jessica Papay,Patricia Donovan

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