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Value-Based Care

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Consumers, payers and providers are embracing the value of Medicare Advantage

Open enrollment for Medicare Advantage plans is predicted to swell as educated consumers increasingly flock to plans that align neatly with their evolving health interests — and value-based care plans like Medicare Advantage (MA) fit the bill. As providers and payers partner to preserve a competitive edge in the growing MA market, they offer new and innovative MA benefits and services to drive member satisfaction and enrollment. Here’s why healthcare consumers, providers and payers are seeing the advantage of Medicare Advantage.

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The voluntary path forward in bundled payments

The recently proposed changes to the Comprehensive Care for Joint Replacement (CJR) model and cancellation of the mandatory Episode Payment Models (EPMs) by CMS signals that voluntary bundles are likely to move forward, and even accelerate, as CMS and CMMI further recognize their value and support their expansion in response to market demand. In these Essential Insights, Brian Fuller, VP of Value-based Care, shares his thoughts on how the proposed ruling may impact the future of voluntary bundled payments, particularly BPCI and the broader shift toward value-based care.

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BPCI Participation Readiness: 4 Things You Need to Know

While participating in bundled payments can be a complex endeavor, health systems nationwide have proven them to be a reliable way to transform how patients experience post-acute care, reduce total costs to the healthcare system, and most importantly, improve outcomes for patients. With CMS’ upcoming announcement on the new model of BPCI expected soon, we urge health systems to begin preparing for this important step on the road to value-based care success.

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The key benefits of participating in bundled payments for health systems and patients

With the expectation that the Centers for Medicare and Medicaid Services (CMS) will announce its new bundled payment model in the coming months, bundled payment models have been thrust into the spotlight as a viable opportunity for health systems to participate in value-based reimbursement — an opportunity presenting the question for many of when, rather than if — as the industry marches steadily in that direction.

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