Tag Archives: David Mauzey

Navigating your alternative payment model journey: implementing, scaling and evolving your program

David Mauzey, General Manager, Optum Payment Innovation, was a guest speaker at the Scottsdale Institute on September 26. He shared how bundled payments can help accomplish business strategies. Part II of this two-part blog concludes with suggested best practices to consider when implementing, maintaining, scaling and evolving your alternative payment model. Implementing your program Here […]
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Navigating your advanced payment journey: Creating a focused strategy and rollout

Key influencers pointing toward evaluating your value-based contracts Regulators are demanding that providers implement advanced payment programs to drive better health care outcomes. Many employer groups with a high population of specific surgical procedures and chronic conditions want bundled payment programs. Many providers use home-grown tools that aren’t maximizing the potential of their current value-based […]
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To succeed with bundled payments, think win-win-win

The business arrangements that last are those in which everyone wins. Customers frequent stores where they find excellent value and service. Businesses work with other businesses when they trust each other and when there is mutual benefit. Even in the adversarial world of health care contracting, the most successful agreements happen when all parties — […]
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How bundle payments fit into your future reimbursement strategy

While it is true that tools are often as good as the user who uses them, in the case of health care, reimbursement tools become critical. In my last blog post, I discussed how bundle payments have evolved to meet the needs of the current reimbursement environment. In this post, I’ll discuss how bundles are […]
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The evolution of bundle payments

In health care reimbursement terms, bundle payments are old. The concept of receiving a lump-sum payment for a single episode of care — rather than multiple payments submitted and paid throughout the episode — has been part of the reimbursement environment for the past three decades. But while the environment is drastically different today—bundle payments […]
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Learn why to participate in the next-gen CMS BPCI Program

The Centers for Medicare and Medicaid Services (CMS) delivered the next generation of the Bundle Payment for Care Improvement (BPCI) program on January 9, 2018. CMS refined the original program definitions focusing on volume episodes and expanded the eligibility to include physician group practices including surgical centers. Medicare data for applicants over the past four […]
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