Archway Health, an innovator with healthcare organizations and self-insured employers in risk-based payment programs, today announced the addition of three new members of the Archway team to help lead the organization as it broadens and deepens its services and support. Joining the organization are Chris Couch, Chief Operating Officer; Janna Lacatell, Vice President of Commercial Markets; and, Mark Pacala, Member of the Board of Directors.
BPCI Advanced has been a hit with providers, which has CMS expressing enthusiasm for the level of interest in the new program.
In a recent Archway Health webinar, we polled 80 providers to capture why they applied to BPCI Advanced and what they hope to gain from the program.
Opportunity for New Revenue
Not surprisingly, the primary reason many providers have applied to participate in BPCI Advanced is to seize the opportunity to generate more revenue for their organization. More than three-quarters of respondents, 77%, said they applied because of the “opportunity for new revenue.”
The new applicants have likely seen and heard about the revenue generated by their peers who participated in the original BPCI program. Archway’s partners in BPCI earned on average $3,000 per episode of care. And now with best practices and a second-generation of the program, providers in BPCI Advanced will be able to achieve even better results.
The opportunity for providers to generate revenue with BPCI Advanced is twofold. In addition to the rewards for efficient and effective care, BPCI Advanced participants that meet certain requirements will automatically qualify for a bonus that is awarded to those in the Advanced Alternative Payment Model (APM) track under MACRA. Nearly half of survey respondents, 45%, said they applied to BPCI Advanced “to qualify for the 5% APM bonus under MACRA.”
Stepping Stone to Commercial
More than half, 52%, of respondents said they applied to BPCI Advanced to prepare for commercial bundles. Commercial bundles are self-designed and self-guided programs, thus requiring a certain level of bundled payment expertise to achieve success.
At a recent conference, our chief analytics officer, Dr. Mah-J Soobader told audience members, “The pathway to commercial is experimenting in Medicare programs, and experimenting successfully.” Astute, future-minded providers who are planning to contract directly with commercial health insurance plans down the road are experimenting now with BPCI Advanced to gain the experience to manage their own bundle programs.
Vehicle for Change
Providers increasingly recognize the need to move from volume to value, but it is difficult to implement change without incentives, tools, data, or structure. BPCI Advanced presents a framework for providers to ease into value-based case by providing:
- Upside reward with downside risk protection
- The opportunity to start small with just one bundle
- Data to analyze in advance
- The opportunity to drop out of the program at certain stages
Just putting in an application can give providers insight into specific aspects of care and operations that have room for improvement and can spark a conversation between leaders about the best ways to go about it. 40% of respondents recognized this benefit of bundled payment programs and said they applied to the BPCI Advanced “to use the program as a vehicle for organizational change.”
New Features More Attractive
BPCI Advanced builds on the original BPCI program with new features informed by data and provider feedback. One of those new features is an updated pricing methodology that has been adjusted to be more equitable and attractive to both low- and high-cost providers.
In our survey, 30% of respondents answered: “the refined pricing model might offer more incentive to their organization than that of the original BPCI program.” As providers prepare to receive their data and target prices in the coming months, it is important to keep in mind that success will be driven not just by your initial pricing, but also by your opportunity to increase savings relative to your peers over time.
Additional survey results revealed:
- 67% of respondents that applied to BPCI Advanced had not participated in the original program
- 39% of respondents have experience in risk-based contracts
- When looking at a convener for partnership in BPCI Advanced, providers’ priority needs include analytics, bundled payment expertise, risk protection, and guidance in redesign among other things.
As Archway predicted when CMS first gave indication of BPCI Advanced, the program has attracted many providers new to bundled payments. We are excited by the response and committed to helping providers succeed.
For those who missed out this time, there will be another chance to apply in 2019.
Contact our team to learn more.
Free online learning platform addresses new CMS bundled payments program
The Centers for Medicare & Medicaid Services (CMS) recently announced the next generation of the Bundled Payments Care Improvement (BPCI) voluntary payment model, BPCI Advanced. The release of the updated program details officially opened a two-month enrollment window, set to close on March 12. To guide providers in this critical phase, Archway Health, a full-service tech-enabled bundled payment company, today unveiled Archway Academy, an online educational platform designed to help providers succeed in BPCI Advanced.
“Whether a practice has previous experience with bundled payments or is just starting to explore the option, Archway Academy will prepare them for taking the next step with BPCI Advanced,” said Keely Macmillan, Archway Health’s General Manager of BPCI Advanced. “We strongly feel that as the industry builds momentum toward implementing alternative payment models, providers need an unbiased space for learning about how they work and clear guidance through the process.”
Archway Academy provides a self-paced, online learning platform for healthcare practices and organizations that matches their demanding schedules and mission to improve both patient care and financial performance. The Academy helps answer clinicians’ questions on fit, function, costs and return on investment in the adoption of bundled payments for their practices. Further, Archway can handle the application process and data processing for providers interested in participating in BPCI Advanced.
“There are demonstrable benefits for specialty providers, large or small, to move to bundled payment models,” said Dave Terry, CEO and Co-founder Archway. “With Archway Academy, we can help clinicians and staff assess their opportunity for improvement, and importantly, make the application and implementation process far less intimidating and disruptive.”
Any provider who signs Archway’s non-binding Good Faith Agreement will gain full access to Archway Academy. In addition, Archway will be offering weekly webinars to provide updates on BPCI Advanced as more information is released from CMS. The next webinar will be Thursday, January 25 at 1 p.m. EST. Archway will also host a webinar on Wednesday, January 31 at 2 p.m. EST, following CMS’ Open Door Forum on January 30.
Can’t attend? Contact us directly and we’ll provide a link to the recording.
For assistance with beginning the BPCI Advanced application process, contact us today.
We are proud to introduce design enhancements of our proprietary patient tracking tool, Archway Carelink, a software platform part of our bundled payment management suite. The updates and enhancements reflect specific client feedback and address elements specifically requested. We are committed to continuously improving our platform to make sure that our clients have the best tools and resources to succeed in bundled payments. The design updates were made in collaboration with a leading user experience firm, UXL.
With this redesign, we developed an interactive, comprehensive dashboard for patient monitoring. It includes a streamlined episode list and an episode record, which tracks patients throughout the care journey.
The new Carelink platform includes changes to the tactical dashboard made based on users’ feedback; the original text-only dashboard was updated for usability to better engage program managers and nurses monitoring patients at facilities, and make it easier for them to use the platform and glean insights.
In this update, we also streamlined the episode list, a key part of our tracking tool. Now, it extracts the most relevant data and organizes it in a clear and digestible hierarchy of information. This allows the users to more easily search, filter and parse patient data, and ultimately, more efficiently monitor patient information.
Patient Updates via Text
We added new features to our messaging capabilities via text in this update to help maintain patient communication. Now, Carelink will ask patients to numerically rank how they are feeling. In the event that the patient is not feeling well, Carelink will automatically respond with information to contact their care coordinator. With this update, care coordinators can keep a better eye on patients at home and help avoid any adverse outcomes.
All of our redesign efforts were made with the user in mind. Our goal is always to make our platform easier and more desirable to use. Based on user interviews and feedback, we developed a final product that simplifies usability, improves efficacy, and has a strong visual direction for this application and all on-going advancements.
At Archway, our patient tracking tools are a key component that contributes to our service of ensuring success for providers in bundled payments. We believe these tactical and user-friendly updates to our platform will improve the experience of both the provider, and the patients their care for. And, as always, please let us know any feedback on the platform.
REQUEST YOUR BUNDLED PAYMENT SCORECARD HERE:
http://archwayhealth.com/bpci-advanced/request-bpci-scorecard/ While the release date is still undetermined, the Centers for Medicare & Medicaid Services (CMS) is expected to unveil the next generation of its existing Bundled Payments Care Improvement (BPCI). The continuation of this vital healthcare initiative will herald a new era for efficiency in care management.
While it remains to be seen what the next model will be called—Advanced BPCI, BPCI Advanced, or something different—we do know it is coming. And it’s clear that providers are best served by getting ready. Until CMS announces the official name, we’re calling it BPCI Advanced.
This next generation in the bundled payments movement will be an important opportunity for specialists and specialty providers in particular. It is the first new Medicare bundled payment opportunity for specialists since early 2014. For those already enrolled in BPCI, this is a moment to enhance the efficiencies their practices have already achieved. For those new to bundled payments, this is an ideal time to step toward the future of value-based healthcare.
At Archway Health, we are here to guide your organization, whether you’re a single specialist or a large specialty provider, in the process of preparing for and adopting BPCI Advanced. Let us help you answer what is most likely your first question: Will it be worth it for our practice to join BPCI Advanced program?
In anticipation of BPCI Advanced, we have developed the “Bundled Payment Scorecard” to offer a comprehensive look at the potential savings and efficiencies for your practice. We focus on the factors that have the most dramatic effect on the improvement of payment processes and patient outcomes:
- Total Episodes
- Total Medicare Spend
- Total Post Acute Spend
- Skilled Nursing Facility Utilization
- Average Skilled Nursing Facility Length of Stay
- Readmission Rate
Through these metrics, we provide a snapshot of your practice’s revenue opportunity with adoption of bundled payments. Specialists using our platform have saved on average more than $2,000 per case, and have provided an improved standard of care to their patients.
We understand that doctors and practice managers may be confused as to the future of bundled payments, and have little time to do extensive research on the subject. In a free, 30-minute consultation, we can walk you through both an overview of the evolving landscape of BPCI and share your custom Bundled Payment Scorecard.
We’re excited for the announcement of BPCI Advanced. Since our founding, we have focused only on bundled payments—it’s all we do. And we believe in the importance and potential of this space so much that our model is to share both the downside risks and upside rewards with our partners. In other words, we only get paid when you succeed.
The window for applications to enroll for the BPCI Advanced program is expected to open with the CMS announcement. Interest is already very high. If you’re looking to learn about this opportunity for your organization, we invite you to please contact our team at email@example.com today.
It takes very little time, and we promise that time will be very well spent.