The care plan company
Connect and unify patients and providers across the continuum.
The way we pay for healthcare is changing. The days of fee-for-service are numbered, as CMS and other industry drivers push for pay-for-performance options, such as episodic or bundled payments. To adapt, hospitals and health systems need to change fundamentally; the shift to value-based care is about workflow as much as it is about policy. Care providers must become care managers and disparate systems must learn to connect and collaborate. The fee-for-service world lacks the infrastructure for connecting a patient’s care team. Creating a care plan is the first step, but not the only one - the care plan must serve as a hub where patients and providers meet to coordinate care.
On April 1, 2016, CMS took a giant step towards value-based care by requiring approximately 800 hospitals in 67 Metropolitan Statistical Areas (MSAs) to participate in a bundled payment program called Comprehensive Care for Joint Replacement (CJR). On July 25, they unveiled a mandatory cardiac bundled payment program that will impact hospitals in 98 MSAs. The shift will only continue to accelerate as CMS pushes to tie 50% of payments to value by 2018. Are you ready?