A series on challenges faced and strategies used while participating in value-based care programs from the Centers for Medicare and Medicaid Innovation (CMMI). These examples offer potential lessons for other academic medical centers pursuing delivery reform under alternative payment models and for the insurance administrators and policy makers designing alternative payment models. Learn how the AAMC is supporting AMCs in value based care models.
University of Colorado Medicine: Examples in Practice
Lisa Schilling, MD, medical director, Christina Finlayson, MD, senior medical director, and Chelsea Ganger, program specialist, discuss how CU Medicine is working to improve patient experience through investments in value based care, quality initiatives, and innovative technology. Read more.
Mount Sinai Health System: Examples in Practice
Luis Isola, MD, director of clinical cancer programs and Mark Liu, director of strategic initiatives for oncology discuss Mount Sinai Health Systems’ shift toward clinical care standardization and clinical quality measures tracking by enrolling in the CMMI Oncology Care Model. Read more
Keck Medicine of the University of Southern California: Examples in Practice
Tony Herrera, Director, Payment Innovation and Transformation, discusses the experience of Keck Medicine of USC in coordinating their efforts to identify opportunity and reduce cost while improving quality in the Comprehensive Care for Joint Replacement (CJR) program across a large geographic area. Read More
Christiana Care Health System: Risk Management Strategies for Lower-Extremity Joint Replacements
Tabassum Salam, MD, FACP, and Rebecca Byrne, APN-BC, discuss Christiana Care's interdisciplinary risk management strategies to improve outcomes for Medicare beneficiaries in the Major Joint Replacement of the Lower Extremity bundle. Read More
Northwestern Medicine: Strengthening Post-Acute Care Ties to Improve Patient Care
Hanna Alphs-Jackson, MD, discusses how Northwestern Medicine established a post-acute care system to provide care to patients with major joint replacement of the lower extremity, congestive heart failure, stroke, and chronic obstructive pulmonary disorder while it was engaging in BPCI. Read more
NYU Langone Medical Center: The Future of Episode-Based Payment
In the aftermath of Hurricane Sandy, NYU Langone became the first AMC in the nation to join the BPCI initiative. Joe Bosco, MD, and Rich Iorio, MD, discuss their progress thus far. Read more
NYU Langone Medical Center: Filling Data Gaps - How NYU Harnessed Internal Data to Successfully Implement Medicare Bundled Payments
Lily Pazand, director of Managed Care Payment Reform at NYU Langone Medical Center, discusses how NYU dealt with the time lag in Medicare data by building new reports in EPIC. Read more
Penn State Milton S. Hershey Medical Center: The Evolution of the Clinical Environment in AMCs
Penn State Hershey established a hub-and-spoke-based telemedicine network to provide stroke care to patients in Central Pennsylvania while engaging in the CMMI BPCI initiative. David Ermak, DO, and Craig Mancia, MHA, discuss the project's implementation, potential risks, and lessons learned. Read more
Vanderbilt University Medical Center: Successes and Unexpected Challenges in a Cardiac Valve Replacement Bundled Payment Program
Brittany Cunningham, director of Episodes of Care at Vanderbilt University Medical Center, discusses the institution's engagement in the CMMI BPCI program, focusing on the Vanderbilt Heart and Vascular Institute's care-intervention efforts for patients receiving cardiac valve replacements. Read more
VCU Health: Optionalism, Exceptionalism, and the Public Trust
Stephen Kates, MD, and Gregory Golladay, MD, discuss the opportunity and risks of engaging physicians in alternative payment programs.