Changing Landscape

syncera helps hospitals and surgeons find opportunities and success

Bundled payment models like Comprehensive Care for Joint Replacement (CJR), Bundled Payment for Care Improvement (BPCI), and quality payment programs like the Merit-based Incentive Payment System (MIPS) are forcing hospitals and surgeons to find new ways to reduce total joint replacement costs without sacrificing patient care. While these mandates pressure hospitals towards rapid changes, the hospitals that stay ahead of the curve by identifying effective solutions have an opportunity to transform healthcare while achieving significant gains.

What Hospitals Need to KnowWhat Surgeons Need to Know

BUNDLED PAYMENTS AND CJR PRESENT A CHALLENGE AND AN OPPORTUNITY FOR HOSPITALS

BUNDLED PAYMENTS AND CJR PRESENT A CHALLENGE—AND AN OPPORTUNITY—FOR HOSPITALS

While there are opportunities to reduce costs around post-acute care, the majority of total joint replacement episode of care costs are driven by in-hospital costs that are directly in the hospital’s sphere of control.

Syncera helps hospitals achieve immediate and measurable improvements in cost and operational efficiency by controlling implant and supply chain expenses. Through our innovative information technology, we’ll not only help streamline your supply chain, but also work to improve OR efficiency, reduce errors, train staff and provide management with easy access to actionable information.

Alternative Payments are Here to Stay

ALTERNATIVE PAYMENTS ARE HERE TO STAY

HHS has set a goal of tying 50% of traditional, or fee-for-service, Medicare payments to quality or value through alternative payment models by the end of 2018.1

1. Press Release issued January 26, 2015. Dept of Health and Human Services.
2. Vantage CPS Executive Introduction/Smith & Nephew. Avalere Health. February 2016.

MANY HOSPITALS NEED TO LOWER
COSTS TO AVOID PENALTIES

An estimated 60% of all CJR hospitals may face CMS penalties due to their current cost structure.2

Learn more about CJR

What dirves total joint replacement episode of care costs?

What drives total joint replacement episode of care costs?

Six Steps To Prepare For Bundled Payments

Six Steps To Prepare For Bundled Payments

1.

Establish Bundled Payments and
Value Based Care Team

2.

Analyze episode of care costs

3.

Create alignment with physician providers

4.

Partner with Syncera to generate
procedure and internal costs savings

5.

Redesign care pathways

6.

Manage post-acute care providers

BPCI, CJR AND MACRA—WHAT DO THESE MEAN FOR YOUR HOSPITAL?

BPCI, CJR AND MACRA—WHAT DO THESE MEAN FOR YOUR HOSPITAL?

You have probably heard these terms thrown around frequently—BPCI, CJR and MACRA—but what are they and how are they causing healthcare transformation and sparking clinical integration in the hospital setting?

BPCI

Bundled Payment for Care Improvement

  • BPCI is comprised of four different models of care by CMS to evaluate effects on costs and patient care1
  • Under the initiative, physicians, hospitals and other healthcare organizations enter into payment arrangements that include financial and performance accountability for episodes of care
  • Designed to move the healthcare system from volume-based to value-based patient care

CJR

Comprehensive Care for Joint Replacement

  • CJR is a retrospective bundled payment model for lower extremity joint replacement, and effective April 1, 2016, is mandatory for hospitals in 67 MSAs2
  • The CJR model holds hospitals financially responsible for the entire cost of a 90-day episode of care. CMS establishes an episode of care target price that is an incentive for hospitals to work with physicians, home health agencies, skilled nursing facilities and other healthcare providers to ensure beneficiaries receive optimal coordinated care2

MACRA

Medicare Access & CHIP Reauthorization Act of 2015

  • MACRA changes how Medicare beneficiary caregivers are paid, creating a new focus on rewarding physicians for better care rather than more care. MIPS (Merit-based Incentive System) and APM (Alternate Payment Models) are two paths within MACRA.
  • MIPS combines and streamlines several government value programs, including the Physician Quality Reporting System and Value-based Payment Modifier, into a single incentive program3
  • Measures and rewards physicians on attributes such as Resource Use and Clinical Practice Improvement3
  • Currently a proposed rule with target implementation of January 2017

Partner with syncera

PARTNER WITH SYNCERA

IMMEDIATELY REDUCE COSTS AND IMPROVE EFFICIENCY IN AREAS DIRECTLY IN YOUR HOSPITAL’S SPHERE OF CONTROL

We’re committed to working with hospitals to reduce hip and knee implant costs and to implement cost savings through our Interactive Digital Solutions, like S2 PROCEDURE PERFORMANCE Technology suite, that can have an immediate impact on instrument management, staff training cost reductions and critical OR metrics.

Schedule a personalized review of your hospital’s savings potential and a demonstration of our technology.
Call 1.800.248.4668 or click below to get started.


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Connect with us to learn how we can help you find opportunity and success within healthcare’s emerging performance mandates.

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