Data Integration, Physician-Hospital Alignment Crucial to Bundled Payment Success

An increase in the number of physician practices as episode initiators will improve physician-hospital alignment in bundled payment initiatives, as will leveraging the gain-sharing waiver on offer to participants in Model 2 of the Center for Medicare and Medicaid Innovation (CMMI) bundled payment pilot, advises Kelsey Mellard, vice president of partnership marketing and policy with naviHealth, a convener in the Model 2 pilot, which went live in January.

In this audio interview, Ms. Mellard also identifies strategies for efficient and timely data collection across a bundled payment episode, including cultivation of relationships among pre- and post-acute providers across an episode community.

Alignment of physicians and hospitals and the harnessing of performance data were two challenges associated with bundled payments identified by a 2013 KPMG poll of more than 200 hospitals and large physician groups.

Kelsey Mellard shared first quarter experiences from Model 2 pilot programs, along with current opportunities for organizations not yet participating in bundled payment pilots during a May 21, 2014 webinar, Bundled Payments: Opportunities in Effective Retrospective Acute and Post-Acute Care Bundles, a 45-minute program, now available for replay, sponsored by The Healthcare Intelligence Network.


Length: 6:47 minutes