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Date/Time
Date(s) - Monday, August 17, 2015, 12:00 PM - 1:30 PM

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Learning Objectives

  • Hear updates on the LAN Guiding Committee activities
  • Learn about the federal government’s experience with testing bundled payment and quality measurement
  • Discover the perspective of an orthopedic surgeon who has applied innovative bundled payments for joint replacements

Description

Following the July webinar, the Guiding Committee (GC) of the Health Care Payment Learning & Action Network (LAN) launched a new Alternative Payment Model Framework and Progress Tracking (APM FPT) Work Group, and the GC had a successful teleconference in which it discussed plans for the formation of additional work groups. GC Co-Chair Mark Smith will share updates on all these activities during the webinar.

Following the LAN updates, Amy Bassano, Director of Patient Care Models Group and Gabriel Scott, Lead, Comprehensive Care for Joint Replacement, of the Centers for Medicare & Medicaid Services (CMS), will highlight the federal government’s experience with testing bundled payment and quality measurement for an episode of care associated with hip and knee replacements. Dr. Kenneth A. Martin, an orthopedic surgeon with Martin Knee and Sports Medicine in Little Rock, Arkansas, who has applied innovative bundled payments for joint replacements, will share his perspectives on bundled payment and quality measurement.

Agenda

  • Welcome and Opening Remarks – Anne Gauthier, Mark Smith
  • Guiding Committee Updates and Q&A – Mark Smith
  • Sharing of Innovative Bundled Payments for Joint Replacement – Amy Bassano, Gabriel Scott, Kenneth A. Martin
  • Questions from LAN Participants – Anne Gauthier
  • Closing Comments and Upcoming LAN Activities – Anne Gauthier, Mark Smith

Event Recap

During the LAN Learnings webinar held on August 17, 2015, the panel discussed innovative payment bundling models for joint replacement care. Amy Bassano and Gabriel Scott from the Center for Medicare & Medicaid Innovation presented and described to the panel their Comprehensive Care for Joint Replacement Model (CCJRM), which is a payment mechanism to test bundled payments for lower-extremity joint replacements in hospital settings. Questions from the panelists included clarification on how an episode initiator is defined under the CCJRM, and if the cost of care within a particular episode includes joint replacement remission cases. Dr. Kenneth Martin from Martin Knee and Sports Medicine in Arkansas outlined his organization’s plans to initiate a bundled payment system alignment between its affiliated hospitals and physicians, and also shared hospital and physician responses to the institution’s proposed bundled payment initiative. Questions included how skilled-nursing facilities are controlled when patients lack care partners, and the role of telemedicine in the bundled payment intiative.

Q&A Audio Slides

Amy Bassano, MPP, serves as a member of the Health Care Payment Learning & Action Network's Clinical Episode Payment Work Group. She is Director of the Patient Care Models Group in the Centers for Medicare & Medicaid Services' Center for Medicare & Medicaid Innovation.

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