Value-Based Care Solutions: Bundled Payments

Guiding the Way in Value-Based Care

Your trusted partner in BPCI Advanced

Our suite of BPCI Advanced capabilities will help you choose the right episodes for participation, drive optimal performance, and effectively manage the program. Our clinical model is proven to improve patient outcomes from post-acute care (PAC) while reducing unnecessary utilization, resulting in revenue generation for our partners and Medicare.

The naviHealth Clinical Model

naviHealth Care Coordinators stand at the heart of all that we do for our patients and partners. Licensed nurses, physical therapists, and occupational therapists, our team are in the facility with patients and their families, reviewing care plans and guiding the way to successful recovery. naviHealth care coordinators are truly advocates for the patients we serve. Here are just a few of their responsibilities:

 


Here’s what makes naviHealth different:

Experience

  • 8 years of experience successfully managing post-acute care utilization and improving quality outcomes
  • Strong relationship with The Centers for Medicare and Medicaid Services (CMS)
  • Broad clinical portfolio, as naviHealth currently manages 26 out of the 32 BPCI Advanced eligible inpatient episode groups ranging from elective procedures to complex medical conditions

Technology & Clinical Services

  • Robust clinical services model and proprietary decision support technology that impacts key savings levers and outcomes metrics, such as:
    • PAC level of care
    • Adherence to high-quality PAC networks
    • Skilled Nursing Facility (SNF) utilization and SNF Length-of-Stay (LOS)
    • Readmissions
  • Clinicians to steward patients on their post-acute care recovery journey, focusing on the most appropriate next level of care and quality outcomes to support care redesign efforts

Analytics & Reporting

  • Episode selection and advisory services
  • Monthly reporting packages to monitor and improve program performance
  • Semi-annual reconciliation services
  • NPRA forecasting and gainsharing support
  • Expert analysis of complex claims data sets identifies target areas for improved utilization and savings based on historical best practice benchmarks

naviHealth can guide you through the Bundled Payments for Care Improvement (BPCI) Advanced 2020 application process and enable optimal episode selection to ensure success in the new program when the next Performance Year launches on January 1st, 2020.

As one of the largest conveners in BPCI Advanced, naviHealth’s expertise and unrivaled experience can make all the difference.

Plan for Your Success

Interested in a BPCI Advanced savings estimate and naviHealth’s suite of capabilities for the program? Fill out the form below to learn what your system’s potential savings can be in the program and how naviHealth can help create a foundation that can scale and make your BPCI Advanced program a success. We'll even include a link to download a case study of success with one of our bundled payment partners. We'll show you what it takes to succeed in value-based care.