News | Published: Thursday, April 25, 2019 11:00 am
Archway Health, MedAxiom, and the American College of Cardiology (ACC) today announced plans to offer a free BPCI Advanced Opportunity Assessment that would provide cardiovascular groups and health systems with an initial analysis of potential cost savings and areas for quality improvement and help prepare for the open window of Bundled Payments for Care Improvement (BPCI) Advanced Cohort 2, a program of the Centers for Medicare and Medicaid Services (CMS).
The BPCI Advanced Opportunity Assessment features provider and peer-benchmarked clinical and financial data using multiple sources and analytical tools, powered jointly by Archway, MedAxiom and the ACC. The off-site, timely analysis offers providers a view of their performance relative to peers on metrics including annual volume by MS-DRG, skilled nursing facility payment percentage, patient case mix, 90-day readmission rate, average episode payment, and outpatient ER rate, among other measures.
“MedAxiom and the ACC are excited to work with Archway Health in bringing together, for the first time, quality and payment data to help our respective members and clients prepare for and ultimately succeed in the transition from a volume to value-based environment,” said Timothy W. Attebery, DSc, MBA, FACHE, CEO of MedAxiom and the ACC. “As payment reform continues to evolve, ensuring that cardiovascular practices are prepared from a data perspective is key to guiding efforts toward clinical and operational excellence.”
BPCI Advanced, like other bundled payment programs, rewards clinicians for improving outcomes and lowering costs. Providers will be given an all-inclusive bundle price to cover the inpatient and post-acute care costs during an episode of care. With control of the entire episode, providers have an opportunity to earn additional revenue by improving care management to reduce post-acute costs and readmissions.
As the Center for Medicare and Medicaid Innovation pushes for 100% of providers to be in upside and downside risk arrangements by 2025, BPCI Advanced offers a unique voluntary chance at alternative payment models. The application window for the second, and last, BPCI Advanced cohort was announced by CMS on April 24, 2019, and will close on June 24, 2019.
“We are thrilled to collaborate with leaders in the cardiovascular industry, MedAxiom and the ACC, and are eager to assist members in identifying their true opportunity in BPCI Advanced and support them as they consider participating in the program,” said Dave Terry, CEO and Co-founder of Archway Health. “Through deep collaboration with many cardiologists in BPCI Advanced, we’ve seen the value that participating in the program can deliver to providers and patients alike.”
To learn more and request a BPCI Advanced Opportunity Assessment, submit the form on MedAxiom’s BPCI Advanced webpage at medaxiom.com/bpci-advanced.
About the American College of Cardiology
The American College of Cardiology envisions a world where innovation and knowledge optimize cardiovascular care and outcomes. As the professional home for the entire cardiovascular care team, the mission of the College and its more than 52,000 members is to transform cardiovascular care and to improve heart health. The ACC bestows credentials upon cardiovascular professionals who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. The College also provides professional medical education, disseminates cardiovascular research through its world-renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions.
About Archway Health
Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway is currently working with leading healthcare providers participating in risk-based contracts including Center for Medicare & Medicaid Innovation bundled payment programs such as the Bundled Payment for Care Improvement (BPCI) Advanced, Oncology Care Model (OCM), and Comprehensive Care for Joint Replacement (CJR). Archway also works with Medicare and commercial accountable care organizations (ACOs), self-insured employers, and commercial payers. To support these programs, Archway collaborates with organizations to analyze their opportunities and risks, and deploys a comprehensive platform of analytics, patient tracking tools, Value-Based Risk Protection stop-loss programs, and advisory services.
Founded in 2001, MedAxiom is the nation’s leading cardiovascular performance community focused on providing expert consulting, networking and membership services including data analytics, program excellence tools and educational events to improve business and patient care outcomes. MedAxiom is an American College of Cardiology Company.