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April Book of the Month

Case Study in Bundled Payments:
The Baptist Health System Experience

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The distribution of gainshare checks to participating Baptist Health System physicians was a 'Hallmark moment' of the CMS Acute Care Episode (ACE) pilot, recalls Michael Zucker, senior vice president and chief development officer. The ACE pilot tested bundled payments across specific episodes of care.

For organizations considering participation in the 2011 CMS Bundled Payments initiative, Case Study in Bundled Payments: The Baptist Health System Experience is essential reading before filing letters of intent and applications for CMS's new bundled payment program.

25% Discount
This 24-page report documents the care payment experience of Baptist Health System in the CMS ACE demonstration pilot, which aligned payment for services delivered across episodes of care or "bundled" care. ACE focused on the cardiac and orthopedic diagnosis-related group (DRGs), two of the public payor's most frequent and largest cost disease areas.

Data from the ACE demonstration helped to lay the groundwork for the CMS Bundled Payments initiative announced in August 2011.

A major player in the cardiac arena, having a little over a third of the cardiac market share, Baptist Health saw in the ACE demo an opportunity to gain market share, align providers in quality and efficiency efforts, and improve patient satisfaction. It signed on to be one of five healthcare systems in the ACE pilot.

In Case Study in Bundled Payments: The Baptist Health System Experience, Zucker outlines the San Antonio-based five-hospital system's motivation for participation, the key principles of the ACE demonstration, the challenges and benefits and success strategies and lessons learned from the ACE demonstration as well as that 'Hallmark moment' that generated buzz in the marketplace. Zucker provides a frank look at the challenges of structuring payments, adjusting for severity, engaging physicians and vendors, coordinating and negotiating services and preparing for transition to real-life application.

Order today and receive a 25% discount!

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