Medicare Bundled Payments: Are You Prepared?

Bundled payments represent a key opportunity – and a complex challenge – for providers to engage physicians and better connect care across the continuum

Did you know?

  • 30% of Medicare payments are currently through alternative payment models (APMs), such as bundled payments
  • CMS' goal is for 50% of Medicare payments to go through APMs by 2018 

Bundling payments for services that patients receive across a single episode of care – such as a hip replacement – puts the focus on the patient and encourages doctors, hospitals, and other providers to better coordinate inpatient and post-acute care (PAC). However, many providers lack the infrastructure needed to assume the levels of risk needed to successfully incorporate a bundling program, such as Medicare’s Bundled Payment for Care Improvement (BPCI) model. Is your health system ready for bundled payments? What are bundling best practices, lessons learned, and successes?

What's a bundled payment?Bundling best practices Bundling lessons learned

Bundling Success 

Baptist Health System, a clinically integrated network of 5 hospitals, 40+ orthopedic surgeons and multiple post-acute providers across San Antonio, partnered with Guidehouse to implement a Medicare Bundled Payment for Care Improvement (BPCI) total joint replacement bundle, including care 30 days post-discharge.

  • Engaged physicians to redesign care across continuum
  • Developed preferred network to coordinate care
  • Created shared savings methodology to distribute savings to partnersBundling success results
Learn how Baptist Health reduced costs with bundled payments

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