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By Jason McCormick Vice President, Partner Services at Fusion5 At the core of any bundled payment program is the ability to control costs generated by the services that patients receive during the bundle episode period. The provider, or the “episode initiator”, is in control of many of the costs associated with the patient’s surgical intervention, but not necessarily […]

By Jason McCormick Vice President, Partner Services at Fusion5 The truth is that, until a few years ago, medical practices were not usually considered the ideal environment for statisticians or anyone who knew what pivot or V-Lookup tables were used for. You were usually hard-pressed to find anyone outside of the accounting department that had […]

by Jason McCormick Vice President, Partner Services at Fusion5 One of the first lessons I learned regarding bundled payments was that everyone had a different definition of the term. To some, bundled payments refer to the proactive payment for a set of services that are provided to a patient, while others may be more in […]

Managed Care Contracts – The Basics Providers of health care services establish relationships with managed care organizations (MCOs) to participate in provider networks, health maintenance organizations, integrated delivery systems, value-based care programs and other health plan initiatives via contract. The contract defines and governs the relationship between the parties and sets forth rights and responsibilities. […]

This article was originally published in Inc. This is not the type of startup story you typically read about in Inc. This is not a group of computer science majors living three-to-a-mattress and surviving on Ramen until their app suddenly becomes worth billions of dollars. This is not another subscription box service. This is a […]