Taking a bold step into the world of bundled payment models can help an organization transform itself, but it could fail.
Organizations that want to change are not the same as organizations that are willing to change. It takes a bold leader to make recommendations that may be new and uncomfortable to the organization. As consultants who analyze complex data on a daily basis, we’re constantly steering our clients to make decisions—including some that may be well outside of their comfort zone. The trend toward more mandatory bundled payment models from CMS will be a forcing function that pushes organizations to make bold decisions and transform their businesses—or fail.
Voluntary models like BPCI-Advanced (BPCI-A), the successor to Bundled Payments for Care Improvement, should be viewed as a sandbox to prepare for this future of mandatory alternative payment models. Now is the time to raise the bar on what’s comfortable — and keep raising it. Now is the time to be bold.
We are passionate about using bundled payment models as innovative solutions for business transformation. Participation can lead to improved quality outcomes and patient/provider satisfaction while lowering costs, and using these models will prepare organizations for the future of value-based care.
Here are 4 things to think about when analyzing whether BPCI-A is right for your organization:
Give your organization a leg up in the value-based care environment of tomorrow by moving boldly towards this change today. More mandatory bundled payment models are coming, so it makes sense to the experience you need to effect positive change. BPCI-A can be a great means to decrease readmissions, length of stay, and post-acute utilization while improving internal cost savings, patient/provider satisfaction, and achieving CMS savings. If that sounds good, ask yourself these 3 questions: Do you want to change? Are you willing to change? Are you willing to lead boldly?
Author Information
Darcie Hurteau, MBA, is senior director, DataGen. Tamara Cull, DHA, is senior vice president, Aveus.
About Aveus
The Aveus team offers 20 years of experience in providing strategic consulting, operational and advisory services, value-based program design, integrated care management models, and innovation implementation.
About DataGen
DataGen is an essential partner to healthcare organizations across the country, illustrating the financial implications of payment policy changes and promoting a pragmatic view of how changes will affect revenue and profitability.
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
2 Commerce Drive
Cranbury, NJ 08512