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.

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.

HeartTalk Podcast: BPCI Advanced PLUS

Alternative Payment Models will impact your organization’s future revenue, whether participating in voluntary models or waiting for mandatory payment policies to take effect. So what role will BPCI Advanced play in this new era, what is “BPCI Advanced Plus”, and what are the current drivers and challenges among providers, payers and self-insured employers? 

Hear our CEO, Dave Terry, and MedAxiom Consulting’s EVP, Joel Sauer, talk more on the 11/14 HeartTalk podcast.

Mastering Bundled Payments with David Terry, Founder & CEO at Archway Health

"We've got a great team here at Archway, there are about 30 people now. Many of us have been in healthcare for a long time and have been committed to finding a better model, a better mousetrap. I think what's getting us closer is much better access to data, much better information and the ability to fold that into these different types of reimbursement models." 

Hear David Terry discuss his journey and what Archway is doing to advance payment reform here.

Modern Healthcare: CMS extends bundled-pay program timeline

The CMS is giving providers more time to opt into a new federal bundle pay initiative after clinicians and hospitals complained they didn't have the claims data necessary to determine if they wanted to participate. "It gives a little bit a breathing room for a provider already looking data and thinking about how to be successful in the program," said Keely Macmillan, General Manager of BPCI Advanced. 

Read more here

Archway Health Expands Advisory Team to Counsel Providers Participating in BPCI Advanced

New Value-Based Care Account Managers Reinforce Data-Driven Advisory Support

WATERTOWN, Mass.--(BUSINESS WIRE)--In preparation for the October 1 launch of the new Bundled Payments for Care Improvement (BPCI) Advanced model from the Centers for Medicare & Medicaid Services (CMS), Archway Health has hired three additional team members to deliver one-on-one advisory support to healthcare organizations and providers preparing to launch their bundled payment programs. Archway is a preferred partner to specialists, hospitals, conveners and other healthcare associations and organizations participating in all of CMS’s bundled payment programs, including those who have applied to BPCI Advanced.

Joining Archway are Alexis Bolick and Samantha Tye as senior value-based care account managers, and Tori Hakim as a value-based care account manager. The three new team members will serve as direct liaisons to organizations partnering with Archway in the current BPCI and the upcoming BPCI Advanced models. In their roles, these individuals will provide personalized advisory support to guide providers toward high-value opportunities for improving processes and outcomes, while also reducing costs.

Joining Archway are Alexis Bolick and Samantha Tye as senior value-based care account managers, and Tori Hakim as a value-based care account manager. The three new team members will serve as direct liaisons to organizations partnering with Archway in the current BPCI and the upcoming BPCI Advanced models. In their roles, these individuals will provide personalized advisory support to guide providers toward high-value opportunities for improving processes and outcomes, while also reducing costs.

“The key to success in BPCI Advanced is through data-driven insights, discovered through personal advisory services,” said Dave Terry, CEO and Co-founder Archway. “We are confident that, through their intellect and experience, Alexis, Sam and Tori will help take our providers to the next level. And, I am proud to add them to our growing team of bundled payment experts.”

All three new team members bring strong healthcare provider experience. Previously, Bolick was a project manager at Tufts Health Plan, where she coordinated the cross-functional components of large-scale projects and organized workflow. She also served as a consultant with Public Consulting Group to state-level Health and Human Services Departments on Medicaid guidelines, programs, and financial stewardship. Bolick earned a master’s degree from the Harvard T.H. Chan School of Public Health with a concentration in Health Management and earned a bachelor’s degree in public policy with a Spanish minor from The University of North Carolina at Chapel Hill.

Previously, Tye was a business analyst in the healthcare practice of Public Consulting Group, collaborating with providers on projects ranging from hospital cost reporting to alternative reimbursement methodology development to revenue maximization. Additionally, Tye worked with a healthcare startup tackling addiction treatment to establish policies and procedures pertaining to operations, finance, and patient administration. Tye attended the Harvard T.H. Chan School of Public Health, where she earned a master’s degree. She also earned her bachelor’s degree at Tufts University in both Community Health and Psychology.

Prior to joining Archway, Hakim was a patient account manager with American Renal Associates. Previously, she held positions of case manager and clinical account specialist at Sanofi Genzyme. She has a strong background in Medicare coverage and reimbursement and is a CMS Certified Application Counselor. Hakim earned a bachelor’s degree in Health Management & Policy from The University of New Hampshire.

Archway Health is a growing company, actively adding professionals in bundled payments and value-based care. To find out more about Archway’s current career opportunities, please visit https://www.archwayhealth.com/careers/.

About Archway Health
Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers to design and execute care and risk management programs that drive success in bundled payment programs. Archway is currently working with leading healthcare providers participating in the CMS BPCI and OCM programs, as well as with commercial payers operating bundled payment initiatives. To support these programs, Archway works with providers to analyze their opportunities and risks and to deploy its comprehensive platform of analytics, patient tracking tools, and advisory services to ensure their success in bundled payments. For more information, please visit www.archwayhealth.com.