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Additional Background on CMS Regulatory Changes for COVID-19 Patient Surge

In a press release on 3/30/20, the Centers for Medicare & Medicaid Services (CMS) provided additional background information on regulatory changes, including new rules and waivers, enacted to help combat ongoing COVID-19 patient surges. The additional background includes info on the following: Increase Hospital Capacity – CMS Hospitals Without Walls Rapidly Expand the Healthcare Workforce […]

CMS Releases Guidance for MIPS Reporting

In a press release on 3/22/20, the Centers for Medicare & Medicaid Services (CMS) announced changes to the reporting requirement for providers and facilities participating in several different quality programs. The changes come in the form of exemptions and extensions in respect to the upcoming reporting and submissions deadlines for several programs, including the Merit-based […]

The Truth In Partnership: Convener Services Podcast

The value of partnership varies, by design: it can be as brief and innocuous as a simple helping hand or a complete overhaul replete with blood, sweat and tears. The outcome of partnership, however crafted and executed, should result in success for all involved – especially when it comes to healthcare. Convener support solutions, also […]

Patient-Driven Groupings Model for Home Health

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 […]

It is Time to Break Down the Myths and Misconceptions about BPCI-A

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 […]

MACRA 101: What You Need to Know About QPP, MIPS, and APMs

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 […]

BPCI-A 101: What You Need to Know About the Basics of Bundled Payments

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 […]

Model-Year-Three-Data-and-Target-Prices-Are-Now-Available

Model Year Three Data and Target Prices Are Now Available. Here are a Few of Your Next Steps

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 […]

Free Webinars: Aligning Care through Cost Savings and Gainsharing for Care Improvement

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, […]

FREE Live Webinar: Managing Chronic Conditions and Mental Illness, September 11th

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 […]

Breaking News: BPCI Advanced Model Year 3 Policy Updates

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 […]

Want to Hit the Ground Running for BCPI-A Model Year Three? Select Your Convener Now.

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 […]

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Fusion5

117 South Main Street, Suite 300
St. Charles, MO 63301

Phone: 855-765-8865

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PETER LOUGEE

Chief Solutions Officer
Peter is a nationally recognized expert on post-acute and value based care. He has held multiple executive positions in operations, sales, and business development, and spent more than twelve years serving as a senior executive at one of the largest nursing home providers in the country. His experience also includes leading the largest skilled nursing company in Texas through the first version of BPCI.
Peter is a proud Texan and graduated from Southern New Hampshire University with a degree in Marketing.

 

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REMAY

CHIEF HAPPINESS OFFICER
As Chief Happiness Officer, Remay puts the “fun” in functional. Her exuberance and sweet nature bring out the best in the team. She rarely takes no for an answer, and takes charge of getting her colleagues out of their chairs and into the fresh air for regular walking meetings.
She has a Pawchelors Degree in Fetch and is currently working on her PhDog in Lawn Leadership. Remay takes pride in her ability to make anyone smile, and has yet to meet a squirrel she won’t chase.

 

DAN PAQUIN

CHIEF STRATEGY OFFICER
Dan has significant experience in the healthcare sector, including considerable experience with the Centers for Medicare & Medicaid Services (CMS), including the development of the original Bundled Payment for Care Improvement (BPCI) initiative. He is a widely recognized expert on government healthcare programs, having implemented long-term-care Medicaid programs for the states of Kentucky and Florida.
Dan is also considered an expert in the management and financial performance of Managed Care Organizations (MCOs), and is responsible for developing and implementing corporate strategy at Fusion5.

 

KATHY KRESS

CHIEF FINANCIAL OFFICER
Kathy has served as a senior financial executive at some of the largest companies in the United States. She is considered an expert in mergers and acquisitions (M&A), corporate strategy development, capital markets, and business restructuring. As a divisional financial leader for Walmart, Kathy was charged with the financial performance of the company’s Consumer, Health and Wellness business.
Kathy earned her MBA from the Stephen M. Ross School of Business at the University of Michigan.

 

MICHAEL J. LEVOSHKO

CHIEF INFORMATION OFFICER
Mike has more than 25 years of experience as a value based care entrepreneur and innovator. He has held leadership positions in managed care and behavioral healthcare organizations serving the public, private, and employer group sectors. He is also the co-founder and Chief Technology Officer of Senior Whole Health, which was named the fastest-growing privately held company in the United States by Inc. magazine. 
Mike studied Mechanical Engineering at Northeastern University and is widely recognized as one of the nation’s foremost thought leaders on healthcare technology.

 

DENISE GALLAGHER

CHIEF OPERATING OFFICER
Denise has a proven track record of healthcare innovation and entrepreneurship and has served in leadership positions at Aetna, Coventry, AmeriGroup, and AmeriChoice. Her work in healthcare innovation has taken her from Alaska to Massachusetts, and she was instrumental in the success of NHP of Rhode Island, the first Federally Qualified Health Center (FQHC) in the nation. 
Denise is also the co-founder of Senior Whole Health, named by Inc. magazine as the fastest- growing privately held company in the United States.

 

GERALD RUPP, PHD

CHIEF INNOVATION OFFICER
Jerry is a healthcare executive, innovator, and educator with more than two decades of experience developing and administering healthcare-delivery and payment-model reform, including bundled payments. Additionally, Jerry served in an advocacy role at the Centers for Medicare and Medicaid Services (CMS), and was the Executive Director and Vice President of Research at the Institute for Science and Health.
Jerry has served as a professor of anatomy and has authored over 30 peer-reviewed articles. He received his PhD in cell biology and anatomical sciences from SUNY – Buffalo.

 

SUE CAITO

CHIEF CLINICAL OFFICER
Sue brings over 25 years of clinical experience to the world of value based care, bundled payments, and BPCI. Her focus on innovation resulted in the successful development of a BPCI case-management program within a multi-disciplinary practice that led to measurable improvement in quality outcomes for more than 50,000 Medicare orthopedic patients.
Sue is the author of multiple published articles on readmissions reduction and graduated from Webster University with her degree in nursing.

 

JAMES GERA

CHIEF EXECUTIVE OFFICER
Jim is a proven innovator and value based care entrepreneur. Prior to serving as CEO of Fusion5, Jim achieved remarkable results as a senior executive at several healthcare organizations. Over the past several years, Jim has focused on programs and opportunities within healthcare reform and has served as chairperson for several CMMI grant reviews. 
Jim is also an accomplished musician and received his MBA from the Southern Illinois University at Edwardsville.