You Submitted Your BPCI-A Model Year Three Application. Here are Your Next Steps.

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 […]

Research Shows Gastric Bypass Surgery for Teens Can Lead to Remission of Type 2 Diabetes

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 […]

Here’s What You May Not Know About Your Last Chance to Sign Up for BPCI-A

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 […]

MACRA, MIPS, BPCI-A, and Other Value-Based Care Terms You Need to Know (and How You Can Learn More)

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 […]

Fusion5 Announces Reflexion Health as a Preferred Partner

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 […]

Second BPCI-A Application Period Has Begun

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 […]

Medicare’s New Outpatient (OP) Total Knee Arthroplasty (TKA) Bundle: 4 Things You Need to Know

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 […]

The Importance of the Unknown in BPCI-A Care Coordination

By Jason McCormick Vice President, Partner Services at Fusion5 The unknown is responsible for more last-minute decisions and changes in plans than any other factor when determining outcomes. Unknown variables can be the difference in an experiment’s success or failure. The same has held true as many service providers are struggling to find success in […]

BPCI-A Participation Among ACHs and PGPs Shows Impact of Bundled Payments and Value-Based Care

By Shawn Matheson Senior Regional Director, Partner Services Fusion5 Though participation in the Bundled Payment for Care Improvement – Advanced (BPCI-A) program dipped by 16% after the recent March 1 withdrawal date, the data regarding participation among acute care hospitals (ACHs) and physician group practices (PGPs) should reassure those of us in the healthcare community […]

Optimizing Your Patients Before Surgery: A Path to BPCI-A Success

By Amanda Connoyer, MSHI, MSN, APRN, FNP-C Regional Clinical Diretor, Fusion5 Shawna Zabkiewicz, RN, BSN, CCM Director, Value Based Care and Case Management, OrthoIllinois Introduction Targeting the optimization of patients’ health before surgery to improve patients’ post-surgical outcomes, reduce or prevent possible perioperative complications, decrease readmissions, and reduce recovery times is a worthwhile endeavor to […]

Nurses to Face Additional Pressure and Increased Documentation Requirements Under PDPM

Frontline nurses may face additional pressure to document and justify skilled care that is reimbursable under Medicare, once changes to the Patient-Driven Payment Model (PDPM) for Skilled Nursing Facilities (SNFs) are fully in place. Changes to PDPM will take effect later this year, on October 1. The purpose of the change is to reduce mistakes […]

Crushing Bundled Payments: Identifying Surgical Candidates

By Jason McCormick Vice President, Partner Services at Fusion5 As we continue our series on the critical elements of a successful bundled payment program, we begin to focus on the normal day-in and day-out processes that can prevent any case from becoming a “bundle-buster.” The first few elements of a successful bundled payment program helped […]
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