News and Insights

New Payment and Delivery Models

Numerof State of Population Health Survey

Population health management has become a national topic of conversation, but to date little effort has been devoted to tracking the actual progress that’s been made towards value-based models of care. Numerof partnered with Dr. David Nash, Dean of the Jefferson College of Population Health, for our second annual in-depth, national look…

Adapting the Commercial Process to the Evolving Healthcare Delivery Landscape

eyeforpharma

In July 2016, CMS’ announced that it plans to initiate a mandatory bundled-payment program in cardiology that parallels its current orthopedic bundled pricing program. This is another indication of CMS’ commitment to alternative payment models that make delivery organizations financially accountable for the cost and quality of care they provide.…

Payment Reform: Preparing to Go At-Risk

The American Orthopaedic Association

Episode-based (bundled) or capitated payment for delivery of quality care across multiple providers can be a significant stimulus of lower costs and improved clinical outcomes.  Implicit in such approaches is that it incentivizes better care coordination and cost-effective decision making.  The flip side of this equation is, of course, that…

Why Population Health?

The American Orthopaedic Association

Understanding what population health means and how to get there will be critical for all specialties.  However, the recent launch of the Comprehensive Care for Joint Replacement initiative, the first compulsory bundled payment program coming out of CMS, amplifies the need for the orthopaedic community to understand what it means…

Why Post-Acute Care Partners Are Critical to Hospitals’ Future

H&HN

Health care executives are facing new management challenges as payers shift more risk to providers. As evidenced by the Bundled Payments for Care Improvement initiative and, most recently, the Comprehensive Care for Joint Replacement model, hospitals are being pushed to assume greater risk for care episodes. This risk can extend…