Our team of experts will partner with your organization to transition to Bundle Payments (a value-based-service) by:

  • Engage, Educate and Collaborate with Key Stakeholders, Physicians and Teams
  • In-depth Analysis of Patient Episode of Care and Experience resulting in standardization of Patients Entire Episode of Care
  • Analyze & Establish Bundle Payment Plan & Risk
  • Negotiate with Payers
  • Achieve cost savings & Identify additional areas of cost saving opportunities
  • Track, Analyze and Measure Outcomes for long-term growth and sustainability

PERFORMANCE

KEY CHALLENGES

  • Hospitals fear of financial risk
  • Employee and Surgeon fear of the unknown
  • Accounting Infrastructure –Transition to handle single claim payments and organize claims data in order to negotiate pricing with the payer
  • Physician Engagement – Provide Physician and Caregiver education sessions
  • Standardize the Episode of Care
  • Legal Contracts
  •  Pay Transparency

We establish open communication between the Physician, Surgeon, Hospital and Caregivers..

Physician Engagement Process​

  • Physician Educational Sessions
  • Establish a Physician Advisory Committee
  • Transparency of pay
  • Collaborate & Coordinate with specialties impacting patient care outcomes and cost​

BUNDLED PAYMENTS

CHALLENGES, RISKS & REWARD

PROCESS

Our team of experts will customize and tailor the standardization of the Wellness Model of Care Continuum based on scientific evidence supported by industry best care practices.  

  • Patient & Family Education
  • Surgical Experience Preparation
  • Day of Surgery
  • Rehabilitation
  • Healthy Lifestyle

Standardizing reduces risk and patient care outcomes become reproducible and measurable.

Bundled Payment Program

TOTAL HIP & TOTAL KNEE JOINT REPLACEMENT PROGRAM 

BUNDLED PAYMENTS

OUR PROCESS

PURPOSE

Marcia Friesen & Associates

Contact Us: Marcia@MarciaFriesen.com

312.285.1574

At Marcia Friesen & Associates, our team will help you implement, manage, and sustain growth by establishing:

  • Program Performance Evaluation Metrics
  • Provider Quality Metrics
  • ​Measure & monitor quality of care, cost effectiveness and performance of bundled payments


Questions?

Please contact us to schedule a private 30 minute complimentary webinar to discuss how we can help you achieve success with bundled payments, transforming your hospital with a customized Clinical Redesign program or implementing the Integrative Advantage™ into your organization.

REDUCE YOUR RISK & BENEFIT FROM BUNDLED PAYMENT

  • Establish predictability by standardizing the episode of care to reduce risk, resulting in transparent, measurable and reproducible outcomes, an exceptional patient experience, improved efficiencies, and cost reductions
  • Establish engagement and communication between the hospital, stakeholders, caregivers, physicians and surgeons aligned with the vision
  • Prepare the hospitals accounting system for single claim payments
  • Negotiate with payers the parameters on patient selection, eligibility and episode of care
  • Provide procedure specific data and claims data vs. national data to Payers for bundled payment negotiation
  • Establish a system to deal with complications
  • Establish Program Performance Evaluation Metrics and Provider Quality Metrics to measure and monitor the overall quality of care, cost effectiveness and performance of the bundled payment program

Transition to Bundled Payments (value based model)

  • Vision Exercise
  • Key Stakeholders, Physicians, Caregivers, Hospital Meeting
  • Discuss and Define all elements that are necessary to provide the best possible outcomes for the patients
  • Strengths and Weakness Analysis
  • Accounting Capabilities / Data Analysis
  • Physician Leadership 

PEOPLE