Old Volume-based Model:
Compensation based on Surgical Volume
- Only responsible for the surgical procedure and timely discharge
- Not penalized for re-admissions
- Satisfaction does not influence reimbursement
Conclusion: High readmission rates, excess costs, clinical risks
UNSUSTAINABLE
Managing the Surgical Episode
Moving to Value-based care
A Hospital’s Challenge
New Value-based Model:
Compensation based on a successful Surgical Episode
- Responsible from “Pre-hab” through restored health
- Penalties for readmission by CMS
- Poor outcomes and patient satisfaction will negatively influence reimbursement & market share
Conclusion: Cost, quality & patient satisfaction matter
VALIDATED CARE
ValidCare Network Services
Are you ready to deliver Value-Based Surgical Care?
Surgical providers must put infrastructure and care coordination in place to achieve mandated value based care, or face the risk of losing patient populations and revenues.
ValidCare services help our customers:
- Align the economic interests of the physicians, hospitals, and other care givers
- Improve care coordination from “pre-hab” through “re-hab”
- Engage patients to capture real-time clinical & functional outcomes
- Measure, benchmark & report network performance
What’s new in the news
Powering Value-Based Care – ValidCare™ Expands Offering and Impact
Centennial, CO., October 17, 2016 – ValidCare, the industry’s premier surgical patient experience network announces today the expansion of their proprietary digital health platform to include surgical CareTracks™ for patients undergoing lower extremity total joint (i.e., total hip and total knee), spine and general surgical procedures.
Patient Engagement Technology an Innovative Tool for Healthcare Industry
Patient Engagement Technology an Innovative Tool for Healthcare Industry, End User Market Trends and Analysis - (Pricing, Replacement Trends, Selection Criteria, and Buying Behavior)
What is CJR’s impact on your hospital?
ValidCare works with hospitals to prepare and navigate the challenges of the Comprehensive Care for Joint Replacement (CJR) model. We can help you with the complex nature of this program and make it relatively simple to understand and implement.
April Fools? CJR incentivizes Hospitals to be PRO’s at Surgical Patient Experience
April 1st marks the start of the five-year, Comprehensive Care for Joint Replacement (CJR) mandatory bundled payment model from the Centers for Medicare and Medicaid Services (CMS) for Medicare patients undergoing hip or knee joint replacement surgery. Hospitals in 67 MSAs will join their peers currently participating in the Bundled Payment for Care Improvement (BPCI) initiative.