CJR

McKnight's: Skilled nursing facilities see opportunity as CMS finalizes cancellation of bundled pay models

Last week, Archway Health CEO, Dave Terry, and GM of BPCI, Keely Macmillan, were featured in an article by McKnight's discussing recent CMS announcements.

On November 30th, 2017 CMS confirmed the cancellation of mandatory bundled payment models for hip fractures and cardiac care, as well as modifications to the Comprehensive Care for Joint Replacement Model. CMS Administrator Seema Verma said, “While CMS continues to believe that bundled payment models offer opportunities to improve quality and care coordination while lowering spending, we believe that focusing on developing different bundled payment models and engaging more providers is the best way to drive health system change while minimizing burden and maintaining access to care.” 

Archway's Keely Macmillan believes that the announcement is “great news for nursing home providers,” and that this, “really clears the way for SNFs to be engaged in these voluntary programs.” 

At Archway Health, we believe that the cancellations of mandatory models pave the way for voluntary success by giving engaged providers the opportunity to innovate around the best way to care for their patients across the full continuum of care.

Read the full article by McKnight's here.

Skilled Nursing News: Skilled Nursing Providers Have Mixed Feelings on Bundled Payments

Archway Health CEO Dave Terry was recently quoted in Skilled Nursing News' article "Skilled Nursing Providers Have Mixed Feelings on Bundled Payments". The article discusses a recent survey conducted by Archway Health that examines how Bundled Payments for Care Improvement (BPCI) both lower the cost of post acute care and enhance care quality. “Of folks who actually participated, [if you asked], have you seen improved quality and reduced costs, I think you’d see both,” Terry told Skilled Nursing News. “This is a pretty broad audience, who might be getting ready to participate.”

Read the full article by Skilled Nursing News here.

McKnight's: Recent Cancellation of Mandatory Payment Models Surprises

Archway Health CEO Dave Terry was recently quoted in McKnight's article titled "CMS surprises-and doesn't- with pay model changes" on the elimination of previously mandatory payment models. “We thought [the models] would probably be switched from mandatory to voluntary,” he said. “But we didn't think they would be eliminated, just because there is demand for these programs on the voluntary side.” Although the complete elimination of the program was a surprise to many, experts predicted a shift from mandatory participation to voluntary. As we previously highlighted in this blog post, our team at Archway believes that this news is promising for the future of voluntary programs.

Read the full article on McKnight's.

Healthcare Finance: Voluntary Participation in Bundled Payments Will Continue after Cancellation of Mandatory Programs

In the article "Voluntary participation in bundled payments will continue after CMS cancels mandatory initiatives, experts say," Healthcare Finance interviews experts for their thoughts on the recent news of the proposed rule by CMS to cancel the episode payment models and the cardiac rehabilitation incentive payment model. Experts interviewed by Healthcare Finance, including Archway Health CEO Dave Terry, "believe the switch from mandatory to voluntary bundles is positive for providers and will not affect participation or the movement to value-based care."

Eliminating the mandatory models gives CMS greater flexibility to design and test innovations that will improve quality and care coordination across the inpatient and post-acute-care spectrum, the agency said in the proposed rule.

Read the full article from Healthcare Finance.

McKnight's: Healthcare Experts Comment on New CMS Proposed Rule

As part of their reporting on the new proposed rule released by CMS on Tuesday, McKnight's interviewed healthcare experts to learn their insights into the proposal. In an article titled "CMS proposes cancelling cardiac, orthopedic bundled payment models," Archway CEO Dave Terry tells McKnight's that some changes to the programs had been expected in light of Department of Health and Human Services Secretary Tom Price's support of voluntary bundled payment programs instead than mandatory programs. Dave says:

“We thought [the models] would probably be switched from mandatory to voluntary … but we didn't think it would be eliminated, just because there is demand for these programs on the voluntary side.”

Some experts, including Dave, have said that there is a possibility that CMS may make the models voluntary rather than canceling them entirely:

CMS may also roll it into the upcoming BPCI Advanced initiative, which Terry believes will still “move full speed ahead.”

Read the full article from McKnight's here.

Healthcare Dive: Bundled payment proposals include canceled, scaled-back programs

A new brief in Healthcare Dive covers news of a proposed rule released by CMS that reduces areas that are required to participate in the mandatory joint bundled payment program and cancels the cardiac bundled payment model. Healthcare Dive concludes the article by quoting Archway CEO Dave Terry's statement that bundled payment models are likely to endure.

Bundled payments are positive for providers and aligns their interests with those of payers and patients, he said.

“In this scenario, acute care will ultimately constitute a smaller component than currently, so hospital payments could well shrink," he said. "However, if hospitals take the appropriate action they can sustain and even grow their bottom lines by more coordinated and prudent use of resources.”

Read the full brief from Healthcare Dive here.

Healthcare Dive: Despite Federal Delays, Bundled Payments Will Be Entrenched in US Healthcare

Dave Terry, founder and CEO of Archway Health, is quoted several times throughout a new feature published today on Healthcare Dive. The article by Les Masterson is titled "Despite federal delays, bundled payments will be entrenched in US healthcare." Dave tells Healthcare Dive that CMS has shown that they remain committed to bundled payments. This message has been consistent both pre-election and post-election.

Dave also says that though the changes involved in implementing a bundled payment program may feel overwhelming, bundled payment programs ultimately lead to more autonomy and funding to manage patient populations.

Dave says:

"In this scenario, acute care will ultimately constitute a smaller component than currently, so hospital payments could well shrink. However, if hospitals take the appropriate action they can sustain and even grow their bottom lines by more coordinated and prudent use of resources."

The article also mentions the BPCI Advanced program:

There is another bundled payment announcement expected this summer — the next iteration of the BPCI program. No matter when CMS announces its next bundled payment program, Terry said CMS will continue bundled payments — regardless of the delays and the HHS secretary's opposition to mandatory programs.

“There will likely be more delays, but everything we’ve heard and everyone expects in the industry is that it’s coming,” said Terry.

Read the full article here.

HFMA: What Does CMS Delay Mean for Bundled Payment Programs?

In an article in Healthcare Finance titled "Expert: Trump administration 'buying time' by delaying bundled payment programs," Healthcare Finance associate editor Jeff Lagasse talks to Archway Health CEO Dave Terry about what the recent delays announced by CMS mean for bundled payment programs. "It appears to me that they're just kind of buying time," Dave says. "Obviously there's a lot going on right now with CMS, with the healthcare reform bill and the new head of CMS being appointed within the past couple of weeks. I think they're giving themselves some more time."

From Healthcare Finance: "But Terry said it appears the administration, and the healthcare industry, are likely moving full-speed ahead on the shift from volume to value, with bundled payments representing a significant aspect of that sea change."

What may change however, according to Dave, is that some bundled payment programs may become voluntary instead of mandatory, and this could be a good thing. "We actually think the voluntary programs are a much better option for driving change than mandatory programs," Dave says. "When physicians sign up for voluntary programs, they're incredibly engaged in reducing costs. When you voluntarily sign up for something, the C-Suite is engaged, and change can happen much more swiftly and much more rapidly."

Read the full article here: Expert: Trump administration 'buying time' by delaying bundled payment programs

The Healthcare Financial Management Association (HFMA) also quoted Dave Terry in their reporting on the CMS delay.

From HFMA: "However, Terry said he has seen a lack of widespread 'engagement' by hospitals in CJR and the EPM programs because most don’t have the volume in those procedures for the models to have much of a financial impact. He blamed the lack of hospital focus on 'watered down' rules, including the lack of penalties in their first years and front-loading bonus payments for the small share of hospitals that have large volumes affected by the programs."

"'Some of them got engaged early, but many of them are waiting for the risk until it hits their radar screen as the top five or 10 things that they are worried about,' Terry said."

Read the full article here: Does Bundle Delay Signal the End of Mandatory Models?

Got a question about bundled payments? Ask us now.

HFMA: Industry Nervously Watching for 2018 Voluntary CMS Bundles

Archway Health Founder & CEO Dave Terry is quoted in an article titled "Industry Nervously Watching for 2018 Voluntary CMS Bundles” that was recently published on the Healthcare Financial Management Association (HFMA) blog. The article by Rich Daly discusses CMS leadership challenges, the payment models that analysts expect may be launched in 2018, and the interest in bundled payment models shown by private payers. “The fact that CMS is showing results and continues to move it forward is indicating to the market that it is real,” Dave said. “They wouldn’t push it forward if they weren’t seeing some success.”

Read the full article here: http://www.hfma.org/Content.aspx?id=53123

Got a question about bundled payments? Ask us now.

HealthExec: Q&A - Archway CEO Terry on bundles, how value-based care may thrive under Trump’s HHS

Archway Health CEO and Founder Dave Terry recently spoke to Health Exec on the state of bundled payments in 2017. His responses were published in a Q&A, where Dave explains to Health Exec writer John Gregory "how the policies of President-elect Donald Trump and his pick to run HHS, U.S. Rep. Tom Price, MD, R-Georgia, could benefit value-based care initiatives and bundled payments in both Medicare and commercial insurance." Read the full article here.