BPCI-Advanced Update and Other Value Based Care Contracting Opportunities in Orthopedics
Many orthopedic practices have experienced success in the Bundled Payment for Care Improvement (BPCI) initiative in recent years, but there have been a number of CMS and market driven changes in that program over the last several months. In this webinar we will discuss recent changes in the BPCI-Advanced program, implications for Orthopedic Groups, and participation options for the final three years of BPCI-A. We will also provide an overview of other trends in Value Based Care contracting and emerging opportunities for Orthopedic practices to participate in the Medicare Direct Contracting model and Commercial risk arrangements.
- Recent changes in Model Year 4 of the BPCI-A program including: Participation options; The new bundle pricing model; Data access.
- Details about the upcoming CMS Direct Contracting Model and other VBC contracting opportunities for specialists.
- Keys to maximizing upside and limiting risk within Value Based Care arrangements.
- The importance of using data to track & improve performance in preparation for negotiating risk arrangements.
Meet Our Speakers:
Keely Macmillan, MPH, Senior VP of Policy & Solutions Management, Archway Health
Keely Macmillan is a payment policy expert with over 12 years of experience in value based payment reform. At Archway, she leads her team in the evaluation of two-sided risk models with a focus on technical and programmatic risk for the purposes of enhancing Archway’s stop loss underwriting capabilities, developing market-leading solutions and helping Archway’s provider partners succeed in value based care programs. She also leads collaborative advocacy efforts with CMS to improve VBC program design. Previously Ms. Macmillan played a lead role in Value Based Care initiatives at the Partners Healthcare System in Boston, She holds a MS from the Harvard T.H. Chan School of Public Health and a BS from Yale University.
David P. Terry, MBA, Co-founder, Chief Executive Officer, Archway Health
Dave Terry has over 20 years of experience as a healthcare payment reform strategist and thought leader. At Archway he leads a diverse team of healthcare reimbursement experts, data scientists, clinicians, insurance professionals and technologists focused helping providers enter, finance and succeed within Value Based Care contracts of all types. Archway’s approach is to use its data, experience and market insights to assess opportunity and risk within VBC programs and to help providers manage that risk through innovative Stop-Loss products and care management tools. Mr. Terry holds an MBA from Harvard Business School and a bachelor of arts from Columbia University.
Don Schreiner, CEO, OrthoIllinois
Don Schreiner has 22 years of experience with OrthoIllinois as their CEO and has participated in their growth from 5 physicians and 30 staff to over 45 physicians with 500 staff, and 13 locations that includes 1 ASC with 2 additional ASC’s being designed and built for opening 1st quarter of 2022. OthoIllinois has successfully participated in BPCI-A since 2015 and have been participating in Commercial Value Based Care contracting with Employers for over 3 years. OrthoIllinois is moving forward in Model Year 4 of the BPCI-A program and is also planning to pursue other Medicare and Commercial Value Based Care contracts into the future. Mr. Schreiner has a Bachelor’s and MBA from University of Toledo and has been an active member in AAOE for over 21 years and is proud to have served as a Board Member and past president of AAOE.