November 29th, 2014
KING OF PRUSSIA, PA, November 15, 2014. HealthQx attended and exhibited at the 2014 Healthcare Bundled Payments Congress on November 13th & 13th in Las Vegas. It brought together healthcare leaders that are on the front lines of implementing bundled payment programs to share their experiences. The conference provided the perspective of both payers and providers and the shared goal for bundled payments that will improve quality and reduce the total cost of care associated with an episode of care. Our discussions with health plans emphasized the need for agile analytics in order to operationalize bundles to their fullest potential, while feedback from providers that attended include an interest in working with an analytics vendor that can make sense of payer/CMS data, verify results and validate performance. There is a universal need for market data on post-acute care providers to determine which are the highest quality and cost efficient home health and skilled nursing facilities.
There was a very informative panel discussion entitled “Migrating from fee-for-service to fee-for-quality & value: The experience of payers within Healthcare Bundled Payments.” The panel included Elaine Daniels from BCBSNC and Lili Brillstein from Horizon BCBSNJ, and offered real-life experience from pioneers in implementing bundled payments in large health plan organizations. Both BCBSNC and Horizon NJ are proving that bundled payments based on HCI3 Prometheus drive savings, quality improvement and provider satisfaction. They discussed how to work closely with their provider community to build partnerships for success.
We were also impressed with the presentation from Monica Deadwiler of the Cleveland Clinic entitled “Using bundled payments to drive quality & growth – improving and standardizing care coordination that engages patients and providers to yield better care at a lower cost.” She offered a great perspective on the need for providers to embrace transformation of the health system.