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Archway Health Bolsters Team Ahead of Expected New Bundled Payments Programs from CMS

Additions of General Manager of BPCI, Director of Operations, Senior Client Manager, and Client Manager Bring a Broad Scope of Healthcare Experience

WATERTOWN, Mass., – September 7, 2017 – With an expected announcement of a new bundled payments program from the Centers for Medicare and Medicaid Services (CMS), Archway Health has hired four new team members to bolster and expand the organization’s capabilities, operations, and client services. Currently, Archway is a leading partner to specialists, hospitals, conveners and other specialty healthcare providers in CMS’s Bundled Payments for Care Improvement (BPCI); it is believed a new program will be announced within the next month.

Keely Macmillan joins as general manager of BPCI, a new position for the company, and will oversee the next generation program. In addition, Archway hired Tim Williams, director of operations; Jacqueline DaSilva, senior client manager; and Jackie Jacobs, client manager.

“We fully expect and are prepared for the next generation of Medicare bundled payment programs, and have added to our team to help providers prepare as well,” said Dave Terry, founder and CEO. “At Archway, we are committed to building the premier bundled payments team, and I am excited to bring on board team members that have the deep experience and expertise in this space to help improve our organization today and better position us for tomorrow.”

Previously, Macmillan was manager of government payment policy at Partners HealthCare, the largest health system in Massachusetts, where she managed public payer financial forecasting and led the government payment policy team in the analysis of performance-based reimbursement models. Among other topics, Macmillan is recognized as an expert in alternative payment models including bundled payments, ACOs, value-based purchasing, and MACRA’s Quality Payment Program. Macmillan earned a master’s degree from the Harvard T.H. Chan School of Public Health and a Bachelor of Science from Yale University.

In addition to Macmillan, Williams, DaSilva, and Jacobs all joined the company in new positions.

Williams is an accomplished strategist in the healthcare technology industry, with nearly 10 years of experience in value-based healthcare. He will join Archway as director of operations, while also serving as product manager for Carelink, Archway’s patient-tracking platform. Previously, Williams drove care coordination efforts at MaineHealth ACO, leading development of a strategic plan for population health management. He also held senior strategy positions at RxAnte and Health Dialog. He earned an MBA from Johnson Graduate School of Management at Cornell University and a Bachelor of Arts in Managerial Economics from Colby College.

DaSilva has a diverse background in healthcare consulting, management and client relations. As senior client manager, she will guide providers in their bundled payment program design, setup and ongoing management. Previously, DaSilva was director of quality improvement at Kindred Hospital, and also was performance improvement manager with Cape Cod Healthcare’s ACO. She earned a Bachelor of Arts from Bryn Mawr College and a Bachelor of Science in Nursing from the Massachusetts General Hospital Institute of Health Care Professional School of Nursing.

Jacobs has a range of healthcare and client management experience in both commercial and nonprofit settings. As client manager, she will assist bundled payment participants in navigating their program. Previously, Jacobs managed patient accounts on a national scale at American Renal Associates, in addition to working with A Little Easier Recovery nonprofit organization for cancer patients. She earned a Bachelor of Science in Public Health from the University of Massachusetts Amherst.

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

 

Media Contact: Olivia Armstrong 781.924.6714 oarmstrong@hencove.com

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.

Boston Voyager: Meet Dave Terry of Archway Health in Watertown

Meet Dave Terry in this new feature by Boston Voyager, part of their Inspiring Stories series. In the article, Dave talks about what led him to found Archway Health. He says:

Over the years I’ve worked in all of the reimbursement models—fee-for-service, population health, global budgets, ACOs—and what I love about the bundled payment model is that it’s the only model that empowers the best experts—specialist physicians—to focus on patients who are sick, and help them get better and get back home.

And over the last few years we’ve seen that this is a better way to deliver healthcare. It's having a big impact on improving outcomes and the patient experience, significantly reducing costs, while also helping the providers we’re working with earn new revenue.

Our goal at Archway is to work with specialty providers, employers, and health plans who also believe this is a better way, and our objective is to help those folks improve care and reduce costs as they build and implement these initiatives.

Read the full article on Boston Voyager here: http://bostonvoyager.com/interview/meet-archway-health-watertown/

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.

Modern Healthcare & Cardiovascular Business: CMS Delays Expansion of Bundled Payment Programs

Modern Healthcare recently published an article titled "CMS delays expansion of bundled payment programs." In the article, writer Elizabeth Whitman reports on the interim final rule published by CMS on the delay. The rule states: "This additional three-month delay is necessary to allow time for additional review, to ensure that the agency has adequate time to undertake notice and comment rulemaking to modify the policy if modifications are warranted, and to ensure that in such a case participants have a clear understanding of the governing rules and are not required to take needless compliance steps." The article includes Archway Health CEO and Co-Founder Dave Terry's comments on how providers are preparing: "Out of about 1,200 providers slated to be included in mandatory cardiac episode payment models, or EPMs, about 10% had expressed interest in actively preparing for them, said Dave Terry, CEO of Archway, a company that works with providers on bundled payment initiatives. Providers in the voluntary space were much more engaged, he said."

The article concludes: "One area of consensus is that this interim final rule on mandatory payment reforms is not the last the CMS will issue. Whether the agency will delay them again, before October, or transition them into a voluntary model, 'I'll be surprised if this is the final change,' Terry said."

Cardiovascular Business also quotes Dave Terry in their coverage of the CMS delay this week: "Archway Health CEO Dave Terry said in an interview with HealthExec in January that he anticipated the programs would continue as voluntary initiatives."

Read the full Modern Healthcare article here: http://www.modernhealthcare.com/article/20170320/NEWS/170329991

Read the full Cardiovascular Business article here: http://www.cardiovascularbusiness.com/topics/healthcare-economics/cms-delays-cardiac-bundled-payments-models-three-months

Got a question about bundled payments? Ask us now.

Healthcare Finance: Commercial Payers Showing Increased Interest in Bundled Payment Models

Archway Health Co-Founder and CEO Dave Terry is quoted in a new article by Susan Morse in Healthcare Finance News. In the article, titled, "As payers see success in bundled payments, critics say model needs fine-tuning,” Dave talks about the interest that commercial payers have shown in bundled payments. "I'm getting a lot more inquiries from commercial plans," he says. "We think we're going to see considerable growth in the bundled payment model."

 

Read the full article here: http://www.healthcarefinancenews.com/news/payers-see-success-bundled-payments-critics-say-model-needs-fine-tuning

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.