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For the first time since 1998, Congress has significantly revised the Home Health (HH) payment model. The Bipartisan Budget Act (BiBA) of 2018, with its subsequent rulemaking and feedback process, went into effect on January 1, 2020 and is called the Patient-Driven Groupings Model (PDGM). Congress mandated Medicare to create a Home Health (HH) payment […]

Like anything new, the Bundled Payment for Care Improvement – Advanced (BPCI-A) program can seem overwhelming. The team at Fusion5 knows that in part because we have heard from providers and hospitals across the country regarding confusion about the program. There have been misconceptions and misunderstandings that have prevented acute care hospitals (ACHs), physician group […]

The world of bundled payments is constantly changing. Here are answers to a few questions you might have before Model Year 3 of the Bundled Payment for Care Improvement – Advanced (BPCI-A) starts. (Model Year 3 begins January 1, 2020.) What is MACRA? The acronym for the Medicare Access and Chip Reauthorization Act, MACRA mandated […]

Fusion5 is proud to partner with PGPs, ACHs, and providers across the country to maximize the power of the Bundled Payment for Care Improvement Advanced (BPCI-A) program. But before providers can get started leveraging the power of bundled payments, it is important to know the basics of bundled payments. Here a few things you should […]

With Bundled Payment for Care Improvement – Advanced (BPCI-A) Model Year 3 baseline data and preliminary target prices now available, acute care hospitals (ACHs), physician group practices (PGPs), and other providers who haven’t previously participated in BPCI-A can now begin to understand just how impactful bundled payments can be. Here are a few quick tips […]

In our ongoing effort to offer cutting edge (we promise that was not a surgical pun) information and education on value based healthcare, bundled payment programs, and the latest in BPCI-A Model Year 3 news, Fusion5 is proud to present the following FREE webinars: Aligning Physician and Patient Care Redesign through Internal Cost Savings September 17, […]

According to the CDC, chronic diseases impact sixty percent of Americans, account for most deaths, and are a primary driver in healthcare cost increases—and those grim statistics don’t even begin to measure the impact chronic diseases have on long-term patient success and potential readmission after a BPCI-A episode of care. Fusion5 is proud to address […]

In our ongoing effort to be the preferred value based care and bundled payment partner for acute care hospitals (ACHs) and physician group providers (PGPs), Fusion5 is sharing the following information provided by the Center for Medicare and Medicaid Services (CMS) regarding new bundles and other changes providers can expect to see in BPCI-A Model […]

Fear of Missing Out (or #FOMO, if you are one of the cool kids) is a real thing. Normally, it applies to seeing someone doing something really cool on Instagram, instantly becoming insanely jealous, and attempting to do the same thing—only to miserably fail. It’s like a Pinterest disaster, but with real people, and photos […]

We’ve said it before, and we’ll say it again. In fact, we’ll say it as many times as we need to: Bundled payments and value-based strategies and payment models are revolutionizing healthcare. In 2020, that revolution will extend to bariatric surgery when the Center for Medicare and Medicaid Services (CMS) introduces a new bariatric surgery […]

Here at Fusion5, we know bundled payments and value-based healthcare will revolutionize patient treatment and strengthen the bottom line of providers by up to 300%. Nowhere is the power of bundled payments and value-based care more obvious than the increasing trend toward treating hip-, knee-, and other joint- replacement procedures on an outpatient basis. Improving […]

The Bipartisan Healthcare Innovation Caucus, led by Representative Ron Kind (D-WI) and Mike Kelly (R-PA), recently announced that the committee is discussing and developing legislation that would revamp specific provisions of the Stark Law. The provisions under discussion include relaxing existing prohibitions on self-referrals and other relationships that exist in value-based arrangements. Portions under review […]