OVERVIEW
There are now dozens of bundled payment initiatives in effect throughout the United States, and they have moved from pilot experiments to scaled payment programs. In addition to Medicare's Bundled Payment for Care Improvement and the newly announced Oncology Care Model, statewide programs involving Medicaid and public employee health benefits plans are moving large volumes of public sector health care dollars away from fee for service. Private sector health plans are also increasing the scope and breadth of their bundled payment implementations and providers are turning to employers to enter into direct contracting arrangements.
The Bundled Payment Summit features keynote addresses from policy makers and national hospital and physician leaders with real-life implementation experience. The Summit will also focus on successful strategies to implement bundled payment arrangements with private and public sector payers. In addition, focus will also be on consumers and how to best engage them in bundled payment initiatives. Other topics include implementation case studies, data & analytics, risk arrangements, employer perspectives, and transparency.
This year's Summit is the event to attend if you are considering bundled payment or involved in its implementation.
LEARNING OBJECTIVES
- Identify the challenges associated with statewide bundled payment implementations.
- Understand best practices for analyzing data and reporting outcomes of bundled payment initiatives.
- Examine and analyze various case studies of current implementations.
- Understand the importance of the role transparency plays in initiatives.
- Identify how to engage consumers in bundled payment initiatives.
- Examine benefits and challenges associated with bundled payments in accountable care.
- Understand alternative approaches for adjudicating bundled payments.
- Explain the current issues related to insurance benefit design and bundled payment that must be considered for accurate payments.
- Understand the importance of quality metrics for successful implementation of episode bundled payment.
- Describe examples of quality measurement, including the key quality measurement domains (i.e., clinical, patient experience, safety, and outcomes).
- Provide examples of quality metrics for certain episode payment bundles.
- Understand the existing incentives in the current fee-for-service environment that exist for surgeons and other providers.
- Clarify the new objectives that must be met to succeed in episode bundled payment (i.e., fewer complications, lower implant device costs, etc.).
WHO SHOULD ATTEND
- Hospital CEOs and CFOs
- Medical Analytic Specialists
- Quality Improvement Executives
- Managed Care Executives
- Managed Care Contracting Experts
- Orthopedic Chiefs of Staff
- Surgeons
- Service Line Executives
- Health Plan Representatives
- Medical Directors
- Information Technology Vendors
- Health Policy Makers
- Academics
- Physicians and Physician Organizations
- Healthcare or Information Technology Media
