In a value-based care future where every healthcare stakeholder is taking on more risk, providers need advanced tools to identify the needs of their patients and populations, and deliver the right care in the right place at the right time. No matter where you are on that value-based care journey, we’re here to help with resources from our experts and industry insights to help you continuously improve and pursue your VBC goals.
Bundled payment is a reimbursement model in healthcare proven to help control costs and prioritize value. Now a mandated from CMS, learn how to prepare.
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Reduces Spend by 26% with Bundles Program
When CVCP knew it was time to shift from fee-for-service to VBC, they used Cedar Gate’s bundles adjudication software to build cardiac center of excellence. The result was a reduction of 26% in spending per cardiac patient, and a significant shift to more cost-effective care locations. READ THE STORY >
Organization Type: High-performing physician-led cardiovascular care network
Location: Texas
26% reduction in per-patient spend on high-risk cardiovascular patients
One employer redirected 97% of appropriate care to more cost-effective settings
Integrated Delivery System Sees $44M ACO Improvement
In its first year as an ACO, a Midwestern Catholic healthcare system missed the CMS target for financial savings by over $40 million. Two years later, after working with Cedar Gate’s consultants to uncover key opportunities to reduce total cost of care and improve care quality for ACO beneficiaries in its network. READ THE STORY >
Organization Type: Integrated delivery system participating in a CMS Pioneer ACO program
Location: Chicago, Illinois
$44M turnaround in two years, achieving shared savings of $18.6 million over three years
Updated billing practices and built a PCP network, saving $57.4M in total cost of care
Rural hospitals and providers are struggling in a fee-for-service model. Could VBC models like capitation and bundles help improve access and care quality?
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GREENWICH, CONNECTICUT – A new analysis of commercial healthcare spending from Cedar Gate Technologies revealed the highest costs for behavioral and mental health are incurred treating teens aged 15 to 19 years old. This age group accounts for at least 31% more per-member per-month (PMPM) spending than any other. Early intervention and effective treatment could save $3,321 per person in healthcare costs within two years.
Cedar Gate’s Tobin Lassen joins the Becker’s Healthcare Podcast to discuss the history of bundled payments and the new TEAM mandate for bundles from CMS.
CMS tested 93 value-based payment and service delivery models, while the commercial sector led parallel initiatives to boost efficiency, quality, and satisfaction. After years of experimentation, value-based care emerged as the best approach for yielding significant clinical coordination, quality, and financial improvements. Consequently, legacy processes, organizational structures, and technologies designed for fee-for-service are failing to enable value-based care. In this session, we invite three market-leading healthcare organizations to share their journey in diverse value-based models.
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.
