Washington, DC (PRWEB) March 07, 2014
Bundled payment programs are among the most promising — and most mature — value-based purchasing initiatives to gain momentum in the marketplace. And with several years of experience under their belts, two insurers have developed successful programs to reimburse providers for episodes of care, combining payments for all aspects of treatment rather than paying providers individually for tests, office visits and procedures. The March 18 Atlantic Information Services Inc. (AIS) webinar, “Bundled Payment Programs: Case Studies From Two Insurers,” will detail how the insurers worked with provider groups to choose the episodes, agree on budgets, track quality measures and share savings … and what results they achieved.
Lili Brillstein, director of episodes of care at Horizon Healthcare Services, and Steve Spaulding, senior vice president of enterprise networks at Arkansas Blue Cross Blue Shield, will present for 60 minutes and follow with 30 minutes devoted to individual questions. Participants will learn:
- How do the insurers establish cost and quality targets, and share cost and quality data with providers?
- What are the differences between retrospective and prospective bundled payment models? How would an insurer transition from the easier-to-implement retrospective method to a prospective program?
- What financial and quality outcomes have the insurers seen?
- How do the insurers share savings with providers? To what extent are providers taking downside risk too?
- What special circumstances are important to consider? For example, how often are costs reconciled? How do payers handle catastrophic “outlier” episodes or patients?
Visit http://aishealth.com/marketplace/c4m11_031814 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.