By Jason McCormick

Vice President, Partner Services at Fusion5

The OrthoForum 2019 Annual Conference was held in San Antonio this past week. Orthopaedic surgeons and practice executives from across America came together to discuss issues facing orthopaedic practices and, overwhelmingly, one theme was consistently heard – bundled payments are on everyone’s mind. Conversations regarding BPCI-Advanced or commercial bundles could be overheard in the hotel lobby, the conference exhibition hall, or during any of the presentations.

No one presentation was more anticipated than Saturday morning’s Value-Based Care Payment Updates session. With the help of Fusion5, The OrthoForum was able to secure Chris Ritter, Director of Patient Care Models Group at Center for Medicare and Medicaid Innovation (CMMI), to give this very informational presentation. On the heels on CMS’s announcement that they intended to provide an Amendment to the Participation Agreement that would remove the 50% cap on Net Payment Reconciliation Amount (NPRA), the presentation was highly attended and delivered great insight into the past, present, and future of the value-based care models, such as the possibility of an outpatient total knee clinical episode in BPCI-Advanced in the next few years. Also presented was the critical elements that CMMI has seen that practices have put in place to be highly successful in BPCI Classic and BPCI-Advanced.

In absolute agreement with Fusion5’s model for BPCI-Advanced success, Ritter explained that CMMI has seen successful providers all have common core elements. These elements include maximizing CMS data, post-acute (PAC) collaboration, care standardization, clinical coordinators, committed leadership, episode variety and time. Ritter also expressed the importance of relationships between internal and external partners and choosing a convener that works in the providers’ best interest in all aspects, especially advocacy.

Fusion5 couldn’t agree more!

At the end of the Annual Conference, Fusion5 walked away knowing that we have a winning recipe for provider success in BPCI-Advanced, commercial bundles, and all other forms of value-based care. Not only does Fusion5 excel at the delivering the elements Ritter expressed were crucial to program success, our current provider partners reiterated the importance of the high-touch and personalized customer service that Fusion5 delivers. If your current convener doesn’t offer the same level of services and outstanding customer care, please reach out so that we can help you be successful in value-based care.

And if you haven’t yet jumped into the world of value-based care, please reach out so that we can help you realize your organization’s full potential.

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