Medical Home Reimbursement: Exploring Bundled Payment Options

Healthcare reform partially fueled Baptist Health System’s desire to participate in the CMS Acute Care Episode (ACE) pilot that is testing bundled or episodic payments for selected orthopedic and cardiac procedures, explains Michael Zucker, Baptist’s chief development officer. He describes some early returns from the experience, highlights the provider’s role in Baptist’s multi-pronged awareness campaign for Medicare beneficiaries and explains the committee-based approach to quality change and cost savings that has already improved communications among participating providers.

Zucker shared Baptist Health System’s experience thus far in the CMS bundled payment pilot and early feedback during a September 16, 2009 webinar, Medical Home Reimbursement: Exploring Bundled Payment Options. The 45-minute session is part of HIN’s continuing Medical Home Open House webinar series.

Length: 5:03 minutes

Closing Gaps in Care for Chronic Conditions

The fragmentation in the U.S. healthcare system for the care of chronic conditions, like diabetes, asthma, heart disease, and depression, causes the health of individuals with these chronic conditions to deteriorate while driving up expenses in emergency room visits and inpatient stays, says Steve Wigginton, president of Health Integrated, a health management solutions company. In this podcast, Wigginton describes how by closing gaps in care, addressing the interplay between medical and psychosocial health and providing day-to-day support for these patients, organizations can avoid costly emergency room visits and inpatient stays.

Length: 5:58 minutes