Nation’s Largest Bundled Payment Collaborative Helping Health Systems Succeed in Public and Private Market Arrangements

Premier healthcare alliance program provides analysis, assessment, technical assistance in developing and implementing strategies to redesign care delivery

Nation’s Largest Bundled Payment Collaborative Helping Health Systems Succeed in Public and Private Market Arrangements

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The Premier healthcare alliance has launched a program to help member health systems develop, implement and succeed in bundled payment arrangements in both public and private markets.

More than 50 hospitals across 18 states have joined Premier’s Bundled Payment Collaborative (BPC). The program provides members with ongoing analysis, assessment, technical assistance, education and knowledge sharing to successfully address issues they will encounter while implementing bundled payment and redesigning care delivery.

Premier will also help BPC participants optimize care models and measures of success by offering ongoing analysis of their Medicare Part A and B data and cost reduction data by MS-DRG; a gainsharing model and associated dashboard; and an overall bundled payment program management dashboard.

“To achieve success in a value-based healthcare environment, providers will need to effectively redesign the way we deliver care,” said John Benz, senior vice president and chief strategic officer at Memorial Healthcare System in Hollywood, Fla. “It’s a disciplined, data-driven process whereby stakeholders agree on the work to be done, re-engineer team member roles and responsibilities, and optimize workflows to achieve improved outcomes for a defined population.”

The Center for Medicare and Medicaid Innovation recently launched the Bundled Payments for Care Improvement initiativeto unite hospitals and physicians in a common goal of coordinating care to achieve better outcomes and lower cost.Through the initiative, the Centers for Medicare & Medicaid Services would link payments for multiple services patients receive during an episode of care under a single fee or agreed upon payment.

Premier BPC participants are committed to sharing best practices and data with other cohort members. They’re focusing on improving care and reducing costs in the following six episodes of care:

These conditions were selected by collaborative members based on a detailed analysis of Medicare Part A and B files by hospital that pinpointed areas of potential opportunity. This analysis included assessment of:

Premier BPC members are focusing on Model 2 of the Innovation Center initiative, which includes hospital and post-acute care services. CMS would make a single, prospectively determined bundled payment that would encompass all of these services. Participants will be permitted to share gains arising from better coordination of care.

“This program is based on a decade’s worth of experiences and lessons learned through our collaboratives that have shown substantial cost and quality improvements,” said Senior Vice President of Premier Performance Partners Wes Champion. “This is another example of how we’re helping members support new care delivery models and improve population health by integrating health information from across hospitals, other healthcare sites and payors.”

Collaborative members will benefit from Premier's clinical, financial and operational comparative databases, containing one in four patient discharges and close to $43 billion in annual purchasing data. They use this information to enable data-driven, evidence-based decisions to improve quality, reduce costs and coordinate care delivery.

Premier has applied, with a subset of collaborative members, to be a facilitator convener for the Innovation Center initiative. In this role, Premier would serve in an administrative and technical assistance function for the designated awardees. This includes facilitating education, episode definition, measurement development, care redesign and care model development, gainsharing incentive planning and cost reduction identification.

Premier is a performance improvement alliance of more than 2,600 U.S. hospitals and 84,000-plus other healthcare sites using the power of collaboration to lead the transformation to high-quality, cost-effective care. Owned by hospitals, health systems and other providers, Premier maintains the nation's most comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network. A world leader in helping deliver measurable improvements in care, Premier has worked with the Centers for Medicare & Medicaid Services and the United Kingdom's National Health Service North West to improve hospital performance. Headquartered in Charlotte, N.C., Premier also has an office in Washington. . Stay connected with Premier on , and .