Nearly two-thirds of CJR participants in Premier’s Bundled Payment
Collaborative received reconciliation payments from Medicare; BPCI
participants also achieving positive results
CHARLOTTE, N.C.--(BUSINESS WIRE)--
Hospital participants in the Centers for Medicare & Medicaid Services
(CMS) Comprehensive Joint Replacement (CJR) model that are members of
the Premier Inc. Bundled
Payment Collaborative are substantially outperforming their peers,
according to a Premier analysis of CMS’s preliminary CJR performance
year 1 data. Approximately 63 percent of CJR participants in the Premier
Bundled Payment Collaborative received positive savings payments from
Medicare, outperforming their peers by 35 percent when compared to the
47 percent of CJR program participants that achieved positive savings
payments nationally.
Though they make up six percent of all CJR program participants, Premier
Collaborative CJR members also generated 11 percent of the total $37.5
million in Medicare savings distributed to all program participants.
Additionally:
-
More than half of Premier Collaborative members that received positive
savings payments from Medicare achieved at least 10 percent in overall
savings;
-
Approximately 75 percent of Premier Collaborative members achieved
savings for Medicare; and
-
Approximately 80 percent of CJR participants in Premier’s
Collaborative achieved excellent or good quality scores in the first
two quarters of performance year one.
“These results show that with a customized and methodical approach,
aligned providers across an episode, robust data and insights from peers
and industry experts, and the implementation of best practice processes,
Premier members are achieving significant financial and quality gains
through the CJR program,” said Mark Hiller, vice president of Premier’s
Bundled Payment Collaborative. “When done right, bundled payment models
represent a smart business choice for providers to ensure continued
economic viability in today’s value-based healthcare environment. They
also present an opportunity to further align physicians and providers to
innovate care delivery processes and achieve greater incentives through
the Quality Payment Program as alternative payment models continue to
evolve. We commend Bundled Payment Collaborative members for leading the
way in this successful effort.”
Launched in April 2016, the CJR model aims to support better and more
efficient care for Medicare beneficiaries undergoing hip and knee
replacements. CMS has proposed lifting the mandatory requirements from
the CJR model for half of its markets; however hospitals in the program
can continue participating on a voluntary basis. In fact, CMS supports
voluntary bundled payment program participation, such as through its
Bundled Payment for Care Improvement (BPCI) initiative and its Oncology
Care Model. Further, CMS is anticipating announcing a new episode
payment model for 2018.
Members of Premier’s Bundled Payment Collaborative participating in BPCI
are also achieving positive results. For example, Bundled Payment
Collaborative member Southwest General Health Center, a 350-bed hospital
located in Middleburg Heights, Ohio, has earned nearly $800,000 in
savings payments since 2015, as part of the BPCI model. In addition,
30-day readmissions at Southwest General have decreased by 21 percent
and 90-day readmissions have decreased by 20 percent.
“We became a BPCI participant because we saw a great opportunity to
drive quality improvements and save money at the same time,” said Jill
Barber, executive director, Payer Strategy and Population Health,
Southwest General. “Bundles provide us a way to ensure everyone across
the continuum is at the table in achieving success. Regardless of what
political sphere you’re from, we believe that bundled payment models are
a mechanism in which the healthcare industry will continue to adopt in
its movement from fee-for-service to paying for high-quality,
value-based care. We eagerly await the CMS announcement of a new bundled
payment model, as we plan to participate. Also, we are excited to
continue to partner with Premier in this effort, as our participation in
the collaborative is key to driving positive results through data,
insights and best practices.”
With more than 120 healthcare facilities, Premier’s Bundled Payment
Collaborative is one of the largest collaboratives of healthcare
provider systems in the U.S. focused on episode-based care. The
Collaborative provides the opportunity for leading health systems to
analyze and identify opportunities from sophisticated claims analytics,
share insights and knowledge, benchmark performance, and learn core
capabilities, as well as leading and evolving practices from each other
to reduce the learning curve and accelerate success in implementing
effective bundled payment models. Premier’s industry-leading consultants
partner with healthcare organizations pursuing commercial, mandatory and
voluntary bundled payment models, such as BPCI and the Oncology Care
Model. Premier has been named Best in KLAS for value-based
care consulting for the past two years.
BPCI Awardee Agreement Statement
The statements contained in this document are solely those of the
authors and do not necessarily reflect the views or policies of CMS. The
authors assume responsibility for the accuracy and completeness of the
information contained in this document.
About Premier Inc.
Premier Inc. (NASDAQ: PINC) is a leading healthcare improvement company,
uniting an alliance of approximately 3,900 U.S. hospitals and health
systems and approximately 150,000 other providers and organizations.
With integrated data and analytics, collaboratives, supply chain
solutions, and advisory and other services, Premier enables better care
and outcomes at a lower cost. Premier, a Malcolm Baldrige National
Quality Award recipient, plays a critical role in the rapidly evolving
healthcare industry, collaborating with members to co-develop long-term
innovations that reinvent and improve the way care is delivered to
patients nationwide. Headquartered in Charlotte, N.C., Premier is
passionate about transforming American healthcare. Please visit
Premier’s news and investor sites on www.premierinc.com;
as well as Twitter,
Facebook,
LinkedIn,
YouTube,
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and Premier’s
blog for more information about the company.
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Source: Premier Inc.