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Bundled Payments: What All Providers Should Know About This Emerging Payment Model

Bundled Payments: What All Providers Should Know About This Emerging Payment Model


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Bundled Payments are becoming more and more recognized as the preferred method.

Bundled Payments are becoming more and more recognized as the preferred method of value-based reimbursement by CMS and several other commercial payers. In this presentation this type of payment method will be explained in detail and real-life examples will be given of how bundled payments actually work. In addition, providers will learn ways to optimize their performance under a bundled payment paradigm and how to negotiate bundled service agreements to their best advantage.

Learning Objectives - After this presentation the listener should be able to:

  • Explain the key components of bundled payments and how this reimbursement methodology
    works.
  • Describe the main differences between bundled payments and capitation payments and why
    one (bundles) is felt to be superior at driving higher value into the healthcare delivery system.
  • List the key capabilities that providers will need to acquire in order to optimize their
    performance under a bundled payment agreement.

 

Max ReiboldtMax Reiboldt is President and Chief Executive Officer of Coker Group and has led the Firm's growth since 1996 to its position today as one of the leading healthcare consulting firms in the U.S. and abroad. He is a prolific author (Author of the Greenbranch Publishing book, RVUs at Work) among others and accomplished public speaker on healthcare management topics.

Max Reiboldt provides sound financial and strategic solutions to hospitals, medical practices, health systems, and other healthcare entities through keen analysis and problem solving. Working with organizations of all sizes, Reiboldt engages in consulting projects with organizations nationwide. His expertise encompasses employee and physician employment and compensation, physician/hospital affiliation initiatives, business and strategic planning, mergers and acquisitions, practice operational assessments, ancillary services development, PHO/IPA/MSO development, practice appraisals, and negotiations for acquisitions and sales. He also performs financial analyses for health care entities as well as buy/sell agreements and planning arrangements for medical practices. Reiboldt is a licensed certified public accountant in Georgia and Louisiana, and a member of the American Institute of Certified Public Accountants, Healthcare Financial Management Association, and American Society of Appraisers.

Mack KnightEllis M. “Mac” Knight, MD, is senior vice president and chief medical officer of Coker Group, where he oversees Coker’s hospital operations and strategic services division. In addition, he has led the development of GlidePath Health, a comprehensive suite of services designed to operationalize clinically integrated organizations such as ACOs. He continues to practice as an internist and hospitalist on a part-time basis.

Prior to joining Coker, Dr. Knight served in various roles at Palmetto Health in Columbia, South Carolina. After 12 years in private medical practice, he started the first hospital medicine group in South Carolina. He helped to grow and manage Palmetto Health’s more than 200 employed physicians. He served as the senior vice president of ambulatory services with responsibility for all outpatient activities at this three-hospital system. In 2009, he led the development of and served as the executive medical director for the Palmetto Health Quality Collaborative, Palmetto Health’s unique and very successful clinical integration program.

He holds a clinical faculty appointment, as an associate professor of medicine, with the University of South Carolina School of Medicine and is a fellow of the American College of Physicians, American College of Healthcare Executives and the Society of Hospital Medicine.