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CONTACT INFORMATION:
Patricia Donovan
Voice: 732.528.4468
Fax: 732.292.3073
E-mail: pdonovan@hin.com
Web site: www.hin.com
Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts
ACOs, bundled payments and concrete contracts — emerging reimbursement models getting payors,' providers' and legislators' attention while delivering cost savings — are defined in "Medical Home Reimbursement ABCs," a new resource from the Healthcare Intelligence Network.
December 2, 2009
MANASQUAN, NJ, USA — Accountable care organizations (ACOs) and bundled payments — also known as episode-based payments or case rates — are financial models frequently mentioned in pending healthcare reform. The recently passed House health reform bill suggests the nation improve how it pays for healthcare to reward quality and coordination of care through bundled payments and accountable care organizations.
Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts defines the emerging reimbursement models that are getting payors' and providers' attention while delivering cost savings.
Learn more about ACOs, bundled payments and medical home contracts.
NEWS FACTS:
Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts profiles three healthcare organizations redefining healthcare reimbursement with pilots of new payment models and contracting strategies.
This essential 50-page resource is targeted to healthcare executives, payors, employers, providers and any organization
anxious to get up to speed on key reimbursement models touted in healthcare reform bills.
Learn more about ACOs, bundled payments and medical home contracts.
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Content Overview:
- ACOs: Dean Health System President and CEO Dr. Craig Samitt, M.B.A., describes the recruiting, incentives and performance management strategies built into the ACO model, also known as a multispecialty group, a medical neighborhood, an integrated delivery network (IDN) or an integrated delivery system (IDS).
- Bundled Payments: Baptist Health System Chief Development officer Michael Zucker describes the motivation, preparation, experience and lessons learned thus far from Baptist's participation in the CMS bundled payments demo. He 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.
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Medical Home Contract Negotiations: Dartmouth-Hitchcock Medical Center (DHMC) senior medical director Dr. Barbara Walters has earned her negotiating stripes. She helped to shape financial foundations for DHMC's participation in CMS's Group Physician Practice demo for Medicare beneficiaries; a partnership with Cigna to create a medical home pilot whose reimbursement structure starts with quality, not cost; and a separate New Hampshire Citizens Health Initiative, a multi-site multi-stakeholder medical home pilot. Dr. Walters brings the industry up to speed on DHMC's negotiating activities over the last year, describing how to represent providers' interests through effective negotiations and contracts with payors for the medical home model of care.
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Target Audience: This 50-page special report is designed for healthcare organizations wishing to decipher the alphabet soup of healthcare reimbursement models, as explained by these early pioneers of healthcare payment models.
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Report Formats: Print/PDF combination, Print or PDF.
QUOTE ATTRIBUTABLE TO MELANIE MATTHEWS, HIN EXECUTIVE VP AND COO:
Click here for Melanie Matthews's
profile.
“Setting reimbursement levels for services rendered by physicians is still one of the major challenges of the medical home model. A grasp of the contracting process specific to the medical home model and an understanding of new reimbursement models will prepare the negotiating team for fruitful contract discussions and avoid disappointment or disengagement on the part of contracted providers."
Please contact Patricia Donovan to arrange an interview or to obtain additional
quotes.
About the Healthcare Intelligence Network – HIN is the premier advisory
service for executives seeking high-quality strategic information on the
business of healthcare. For more information, contact the Healthcare
Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888)
446-3530, fax (732) 292-3073, e-mail info@hin.com, or visit http://www.hin.com.
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