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The best hospitals and physician groups can now beat their regional episode cost benchmark by double digit percentages, turn operating rooms around twice as fast, and interact with patients several time a day throughout an entire episode. The quality of their outcomes and their efficiency allows them to innovate faster, expand their services and their reach to more patients, and thrive as an organization.

We know many of these hospitals and practices - we worked with them in the past, to help them lead in the future. If you are one of them, we congratulate you. If you would like to be among them, let’s team up and make it happen.

What is a bundled payment? learn more


Episode Performance Manager is Performance Solutions' web-based platform to help ease the burden of analyzing data to ensure success.

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Comprehensive Care for Joint Replacement (CJR)

800+ hospitals in the 67 Metropolitan Statistical Areas (MSAs) under the mandatory bundled payment model for Total Joint Replacement of the lower extremities need to outperform regional hospitals year over year. Leveraging episode data to align care providers, clinical protocols and care pathways in a patient-centric model will drive success under CJR. Reducing variation and driving transformation in care delivery across your entire total joint episode will take provider alignment and collaboration. When quality of care improves, variation and cost reductions across the episode are recognized.

Our implementation programs are designed to maximize results and reduce risk under CJR.


Bundled Payments for Care Improvement (BPCI) Program

Performance Solutions participates as an at-risk convener for BPCI clients nationwide and will continue to partner with groups looking to become an episode initiator in BPCI Advanced.

Our program offers:

  • Multi-disciplinary team approach to identifying and documenting cost savings and quality improvement opportunities
  • Physician alignment and gainsharing structure expertise to drive incentive alignment to impact change
  • Program development know-how to assess protocols, quality improvement and payment systems within the hospital environment
  • Care redesign solutions and outcomes to drive cost-savings
  • Project management skills to assist the physicians and the hospital in developing the optimal structure to take leverage incentive programs
  • Potential to assume downside risk for organizations’ orthopedic episodes

Leading impactful change through risk-based programs

Implementing optimal payment and risk-based strategies is crucial when shifting away from traditional fee-for-service payment models toward value- and risk-based models. Today’s payors (both Medicare and commercial) are looking to share in the risk of providing care for patient populations with providers in return for potential upside reward.

Physician - hospital - payor alignment is necessary for the development and implementation of a viable and sustainable risk-based strategic plan.

Performance Solutions will help develop bundled payment strategies, develop and execute Accountable Care Organizations (ACO’s), develop gainsharing agreements and organize Clinically Integrated Networks (CIN's).

Payors

Starting bundled payment programs with the hospitals and physicians in your market may drive necessary cost savings. Embracing bundled payments is a commitment to developing and implementing comprehensive systems of care that continue for the duration of the bundle and the overall improvement in quality of care for patients.

Performance Solutions is experienced in all of the CMS bundled payment programs, including as a BPCI Awardee Convener, and is now working with hospitals, physician groups and private payers on commercial bundled payments. Performance Solutions has the expertise, support teams and data analytic solutions to address the four critical bundled payment success factors: understanding your data; re-designing care; aligning the physicians; and engaging the patients. The right support and tools in the hands of your bundled payment partners will drive efficiency and cost reduction across the entire value chain - there is no need to reinvent the wheel.

The Performance Solutions team is excited to work with you to customize or co-develop new programs to meet your specific needs.

Demo Episode Performance Manager today