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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 […]

With the deadline for submitting applications for BPCI-A Model Year 3 having passed, many acute care hospitals (ACHs) and physician group practices (PGPs) are wondering what comes next. Here are a few next steps for those organizations that met the June 24 deadline: 1. Fusion5 will start meeting with your team to help you understand […]

A study funded by the National Institutes of Health recently showed that gastric bypass surgery for teens can lower blood pressure and reduce Type 2 diabetes. The teenagers—all younger than nineteen at the time of surgery—showed significant improvement five years after surgery. The results could point to a significant breakthrough, given that other treatments have […]

With the June 24, 2019 deadline fast approaching to sign up for Model Year 3 of the Bundled Payment for Care Improvement – Advanced (BPCI-A) program, it’s important for Physician Group Practices (PGPs) and Acute Care Hospitals (ACHs) to know something: You can sign up with multiple conveners. Your organization can review episodes and identify […]

Four years ago, healthcare took a giant leap toward becoming value-based when Congress passed the Medicare Access and Chip Reauthorization Act. In the nearly half-decade since, providers have had to learn a variety of new programs—and, like always, acronyms. Many of our readers may be familiar with each of these. However, the world of value-based […]

One of the key elements to succeeding in BPCI-A is managing your total joint replacement (TJR) patient’s post-acute care. Fusion 5 is continually seeking new innovations and services that provide value to our orthopedic customers. Today, we are pleased to announce another addition to our armamentarium with Reflexion Health. Reflexion Health’s service allows patients to […]

Fusion5 is excited to announce that CMS has “fired the starting gun” for the second application period for physician groups and hospitals to consider jumping in to the Bundled Payments for Care Improvement – Advanced (BPCI-A) Program effective January 1, 2020. As one of the top Conveners in this space we’ve already seen great success […]

By Shawn Matheson Senior Regional Director, Partner Services Fusion5 1. CMS has a timeline. 2. BPCI-A is the mechanism. CMS’ Bundled Payment for Care Improvement – Advanced (BPCI-A) program is the mechanism for Physician Group Practices (PGPs) and Acute Care Hospitals (ACHs) to engage in OP TKA bundles and have the potential to: Share in […]