Our analytic support enables hospital decision-makers to distill the information provided in complex insurance claims and identify the patterns of care and opportunities for change.
Albany, NY (PRWEB) January 07, 2014
DataGen, a national health care data analytics company, has signed two new contracts to provide data analytic support during the Centers for Medicare and Medicaid Services (CMS) Bundled Payments for Care Improvement (BPCI) initiative. One contract is with the Association of American Medical Colleges (AAMC), which is serving as a convener for ten major academic medical centers/systems. The second is with Montefiore Medical Center, a nationally recognized academic medical center and the university hospital for Albert Einstein College of Medicine.
Part of the Affordable Care Act, BCPI is testing how bundling payments for episodes of care can result in more coordinated care and reduce costs. Traditionally, Medicare makes separate payments to providers for each of the individual services they furnish to beneficiaries for a single illness or course of treatment. Bundled payments can align incentives for providers—hospitals, post-acute care providers, physicians, and other practitioners—allowing them to work closely together across all specialties and settings. Under BCPI, organizations enter into payment arrangements that include financial and performance accountability for episodes of care.
DataGen’s BCPI360 Analytic Service provides monthly data updates and decision support in three major areas:
- cumulative episode calculations of payments and variances, with drill-down capabilities into variance drivers;
- target price reconciliation; and
- ad-hoc advisory and training services.
“Hospitals are embracing the opportunities under bundled payments, looking to help reduce costs and improve efficiencies,” said Gloria Kupferman, Vice President, National Information Products, DataGen. “Our analytic support enables hospital decision-makers to distill the information provided in complex insurance claims and identify the patterns of care and opportunities for change. Then, with our monthly monitoring service, hospitals can track their performance and isolate areas for continuous performance improvement.”
Located in Bronx, New York, Montefiore is a leader in adopting and embracing new care delivery models to improve care quality and efficiency. Montefiore already has achieved success as a Pioneer Accountable Care Organization in the Medicare Shared Savings Program.
Montefiore is nationally recognized for clinical excellence—breaking new ground in research, training the next generation of health care leaders, and delivering science-driven, patient-centered care. For more than 100 years, Montefiore has been innovating new treatments, new procedures and new approaches to patient care, producing stellar outcomes and raising the bar for medical centers in the region and around the world.
The AAMC agreement includes ten major academic medical centers/systems and will allow the AAMC to provide a full range of data analytic support to its convened bundlers. To learn more about AAMC, visit the association’s Web site: http://www.aamc.org.
DataGen, located in Albany, New York, is the trusted analytic partner for health care decision-makers around the country. DataGen applies its specialized health policy and payment expertise to produce actionable information from complex data. DataGen, an affiliate of the Healthcare Association of New York State, is partnering with hospitals across the country to mitigate potential risks and capitalize on the opportunities offered by new care delivery and payment models.
Through its analytic services, Datagen is working with hospital partners to effectively utilize data to identify variation in patient conditions and payment, develop pricing strategies, compare performance, and monitor progress.