Category Archives: CMMI Bundling Initiative

WSJ Contributors Have It All Wrong About CMMI

By Coleen Kivlahan, MD On April 23, 2014, an op-ed in the Wall Street Journal described the Center for Medicare and Medicaid Innovation (CMMI), one of the few bright spots on the health reform horizon in our country, as “a … Continue reading

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Pulling It All Together

(Post Seven in a series) By Joanne Conroy, MD Here we are, one week before CMMI/CMS releases the Hospital Referral Cluster data to  applicants so we can assess the “opportunities” for savings. We have had our final meeting on the … Continue reading

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Bundling: Wrapping in Quality

(Post Six in a series) By Joanne Conroy, MD As our bundling group begins the journey through the currently available quality measures across inpatient and post-acute settings, the comments and revelations have been interesting: 1. There is a lot of … Continue reading

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It’s All About Risk in Bundling Initiative

(Post Five in a series) By Joanne Conroy, MD One of the concerns that keep our CFOs up at night is how to minimize the financial risk of participation in our CMMI bundling initiative. There is definitely a downside risk … Continue reading

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Building a Bundle: Setting the Baseline

(Post Four in a series) By Joanne Conroy, MD Last week, we launched into constructing a new bundle. We selected DRGs (Diagnosis Related Groups) 216-221, which cover valve replacement with and without complications. It makes sense because many AMCs actually … Continue reading

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How Do You Construct a Bundle?

(Post Three in a series) By Joanne Conroy, MD We are now getting into the real grit of how you actually construct a bundle. Saying that you will name one price for an episode of care (including hospital, physician, and … Continue reading

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Bundling Initiative Goal: No One Loses Their Shirt!

(Post Two in a series) By Joanne Conroy, MD Over the past few weeks, we have been executing contracts and scheduling workgroups to determine: Five disease groups that will define the specific episodes and work of care delivery redesign A … Continue reading

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AAMC Applies to Serve as Facilitator/Convener in CMMI Bundling Initiative

(Post One in a series) By Joanne Conroy, MD CMMI launched an initiative focusing on improving care through payment innovation, improved coordination, and quality, using one price for a bundle of services. It actually makes sense: If we receive a … Continue reading

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