Healthcare Finance: Value-based care requires payer and provider collaboration

“I work with 1,500 oncologists. When we started working on it, the single biggest reason why patients were admitted to the hospital was for sepsis. None knew this was the biggest reason. We help manage sepsis. The second biggest reason was cardiac-related. There's more focused follow-up.”

Our CEO, Dave Terry, spoke with Healthcare Finance about the move to value-based payment models and how providers are handling the transition. Read more here.

Cardiac Interventions Today: Early Returns for Groups Participating in Medicare’s BPCI Advanced Program

Our own General Manager of BPCI Advanced, Keely Macmillan, and our MedAxiom colleague, Joel Sauer, co-authored a review of BPCI Advanced program enhancements and key learnings from participants in percutaneous coronary intervention (PCI) bundles.

Learn why 85% of cardiology groups stayed in the program after being given the ability to drop out, and why PCI has become a star bundle in BPCI Advanced. Read the article.

Press Release: Archway Health Partners Recognized in CMS’ Bundled Payments for Care Improvement (BPCI) Initiative Toolkit

Press Release: Archway Health Partners Recognized in CMS’ Bundled Payments for  Care Improvement (BPCI) Initiative Toolkit

Archway Health, a full-service, tech-enabled partner to healthcare organizations in risk-based payment programs, is proud to share that two of its partner participants in the Bundled Payments for Care Improvement (BPCI) initiative, Post-Acute Care Network (PACN) and South Shore Physician Hospital Organization (South Shore PHO), were highlighted as high-performing Awardees in Centers for Medicare and Medicaid Services’(CMS) “Bundled Payments for Care Improvement (BPCI) initiative Public Toolkit.”

Press Release: Archway Health Launches Enhanced Opportunity Analysis Scorecard for Healthcare Providers Considering Enrollment in BPCI Advanced Cohort 2

Press Release: Archway Health Launches Enhanced Opportunity Analysis Scorecard for Healthcare Providers Considering Enrollment in BPCI Advanced Cohort 2

Archway Health, a full-service, tech-enabled partner to healthcare organizations in risk-based payment programs, today announced improved metrics and data presentation for its Bundled Payments for Care Improvement (BPCI) Advanced Scorecard to help providers analyze and plan a successful transition to value-based care. The scorecard measures opportunity in the BPCI Advanced program by The Centers for Medicare and Medicaid Services (CMS), which is now open to providers for a second and final application opportunity.

Sitting Out Bundled Payments Could Leave Skilled Nursing Providers Far Behind

“Additionally, by being listed on a BPCI Advanced Participant’s Financial Arrangements List, SNFs are eligible to share in gains earned in the program.”

Keely Macmillan, our General Manager of BPCI Advanced, spoke with Skilled Nursing News about the open enrollment window for BPCI Advanced and the opportunity for SNFs to participate in the program. Read the full article here.

Press Release: Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments

Press Release: Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments

Archway Health, MedAxiom, and the American College of Cardiology (ACC) today announced plans to offer a free BPCI Advanced Opportunity Assessment that would provide cardiovascular groups and health systems with an initial analysis of potential cost savings and areas for quality improvement and help prepare for the open window of Bundled Payments for Care Improvement (BPCI) Advanced Cohort 2, a program of the Centers for Medicare and Medicaid Services (CMS).

Modern Healthcare: Providers blame unpredictability for slow adoption of CMS’ risk-based models

“There were a lot of practices that moved forward that frankly we wouldn’t have recommended to move forward if they didn’t have the option to drop off.” Our CEO, Dave Terry, spoke with Modern Healthcare about the risk associated with value-based payment models and why the adoption rate in Medicare has been slow. Read more here.

Press Release: Archway Health Announces Partnership With A-Rated Insurance Carrier on Launch of Value-Based Risk Protection for Providers

Press Release: Archway Health Announces Partnership With A-Rated Insurance Carrier on Launch of Value-Based Risk Protection for Providers

As healthcare migrates from fee-for-service payment models to value-based care, providers increasingly seek solutions that offer them protection against losses within two-sided, risk-based arrangements. Today, Archway Health, an innovator with healthcare organizations and self-insured employers in risk-based payment programs, has announced a new partnership with an A-rated insurance carrier to provide a new stop-loss program to help protect the downside risk of healthcare providers participating in value-based payment programs.

Healthcare Innovation: BPCI Advanced Participants Drop by 16 Percent; Stakeholders Weigh in on Significance

“The numbers tell an interesting story for orthopedic providers. We’re worried that many of the orthopedic groups that stayed in major joint replacement of the lower extremity (MJRLE) will have significant negative reconciliations in October.” Our General Manager of BPCI Advanced, Keely Macmillan, discussed the significance of the 16% drop in BPCI Advanced participants with Healthcare Innovation. Read more here.

HFMA: Some Practices Leave Largest Bundle Program

“We had a number of folks who we spoke to who felt like they learned in the last four or five months of doing this and were dropping out, but they were going to significantly evaluate getting back into the program when the next opportunity arose.”

Our CEO, Dave Terry, discussed why some participants dropped out of BPCI Advanced with HFMA and what adjustments CMS may make to the program. Read more here.

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. 

Healthcare Finance: Providers await drop-out numbers for BPCI Advanced

“We talked to a lot of providers who thought about getting in but felt they didn't have time. We know there's a lot of pent up demand.” Our CEO, Dave Terry, spoke with Healthcare Finance about what to expect now that the March 1 deadline for providers in the bundled payments for care improvement advanced model to drop-out of the voluntary program has passed. Read more here.

The Business of Healthcare Podcast: How Medicare Bundled Payment Initiatives Can Be Used Successfully In Commercial Healthcare Markets

Our CEO, Dave Terry, met with Dr. Bob Kaiser, director of the master’s degree program in healthcare leadership and management for professionals at the Naveen Jindal School of Management, to discuss the impact of bundled payments on the commercial healthcare market, the history of healthcare payment methods, and more.

Listen to their full conversation in Episode 29 of The Business of Healthcare podcast

HealthPayerIntelligence: HCTTF Offers Clinical Episode Grouper Resources for Bundled Payments

“These tools will help to simplify the process for payers and providers to develop bundled payment arrangements to drive high-quality, patient-centered specialty care for their patients.” Our CEO Dave Terry spoke with HealthPayerIntelligence about the support payers need to develop innovative bundled payment programs. Read more here.

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.