Press Release: Archway Health’s Technology Suite Earns ‘A’ from Chilmark Research, Top-Rated Among Bundled Payment Conveners

Archway Health, an innovator with healthcare organizations and self-insured employers in risk-based payment programs, announced that it has been rated the top convener technology solution for bundled payment programs, as outlined in a report by Chilmark Research. Archway received an “A” from Chilmark, a healthcare industry analyst firm, for its technology tools, earning Archway the highest rating among convener organizations taking risk with providers in bundled payment programs. 

Press Release: Journal of Oncology Practice Publishes Manuscript from Archway Health on Reducing Costs in Oncology Care

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.

Press Release: Archway Health Bolsters Leadership Team with Industry Veterans

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.

CMS to Release Preview Target Price Summary Workbooks

On May 17, CMS hosted a webinar on the BPCI Advanced Pricing Methodology. During the webinar, CMS provided a detailed overview of the steps involved in setting BPCI Advanced Target Prices, and some new information on the pricing methodology including the use of a compound lognormal distribution to account for a provider’s patient case mix. 

Archway is excited by the granularity CMS will use in setting prices in BPCI Advanced, as it aims to encourage both high- and low-cost providers to participate and incentivize the delivery of high-value care.  
 
At the conclusion of the webinar, CMS announced they will soon be releasing Preview Target Price Summary Workbooks that contain a detailed breakdown of all relevant Target Price components. While these Preview Workbooks contain sample data only, the provision of these workbooks allows Archway to fully understand the program pricing methodology and data parameters in advance of receiving real data and target prices later this month. Components included in the workbooks include:
 
•    Peer group characteristics and spending trends used to construct PAT factors  
•    Risk Adjustment parameter estimates from the baseline period   
•    Patient-level characteristics by bundle category and patient covariates at the Episode Initiator level
•    Physician group practice (PGP) offset calculations for low- and high-cost PGPs

Archway is hosting a webinar next week on these topics and encourage you to join to learn more. Archway’s Chief Analytics Officer, Mah-J Soobader, Ph.D., MPH, will discuss the implications of the Workbook detail.

Register now for Archway’s next BPCI Advanced webinar on Thursday, 5/24, 1:30 – 2:30 pm EST. 
 

Providers Flock to BPCI Advanced for More Than Just the Savings

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.  

Automatic Bonus

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.