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 bundle to the Bundled Payment for Care Improvement – Advanced (BPCI-A) program. Bringing the power of bundled payments to bariatric surgery couldn’t happen soon enough. According to the National Center for Health Statistics at the Center for Disease Control and Prevention (CDC), more than forty percent of adults over the age of 60 suffer from obesity. That means nearly one out of two American adults at or nearing the age where they qualify for Medicare is at an increased risk of heart disease, strokes, high blood pressure, osteoarthritis, specific obesity-related cancers, gall bladder disease, and a host of other unnecessary medical conditions and risks that can potentially be minimized or eliminated through bariatric surgery. In other words, obesity among adults aged 60 and above is a widespread health and public policy crisis in need of a solution rooted in innovation and a radically different approach. Obesity is a crisis that can, in part, be lessened by bundled payments and value-based care. “Obesity in America is a complex medical, social, and economic problem,” said Jim Gera, Fusion5 CEO. “The solution therefore needs to address the medical, social, and economic aspects of the disease. BPCI-A is designed to do just that. Working with ACHs, PGPs, and other providers, Fusion5 helps redesign care, deploys a clinical team that includes some of healthcare’s most innovative and accomplished social workers, and lessens the cost of the surgery while delivering improved treatment. We believe obesity is exactly the sort of difficult challenge bundled payments and value-based care are designed to solve.” Interested in learning more about the bariatric bundle debuting in BPCI-A Model Year 3? Contact our team of value-based care and bundled payment experts today. Interested in keeping up with the latest value-based care and bundled payment news? Read the Fusion5 blog, and follow us on social media, including LinkedIn, Twitter, and Facebook!

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