bundled rate manager june 2014

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Bundled Rate Manager is a software application that enables surgeons and

payers to manage the step-by-step process of bundled rate payments.

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Bundled Rate Manager is

surgeon designed, surgeon driven

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Meet Dr. Mike CrovettiOrthopaedic Surgeon

Dr. Crovetti offers bundled rates for different procedures…

Total knee replacements for $19,500 Total hip replacements for $21,500

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Bundled rates means…

one price covers all treatment costs. example: surgeon, anesthesiologist, treatment staff, medical device, facility.

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Dr. Crovetti has used Bundled Rates to process more than 700 patients and $14 million in surgical revenue.

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[1] Increased

surgeon revenue

per treatment

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Bundled rate benefits:

[2] Easy coordination

across treatment

team (example: surgery

scheduling and payment

disbursements)

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Bundled rate benefits:

[3] Better

patient

outcomes

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Bundled rate benefits:

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Hey, Dr. Crovetti, how can we other surgeons setup a

bundled rate program?

Other providers also need bundled rates…

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… and the marketplace demands bundled rates.

“Bundled payments are being hailed, by many, as the most promising solution to the problem of rising healthcare costs in the United States.”

~Physician’s Practice

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What if I could offer all surgeons and payers a way

to process Bundled Rates?

Dr. Crovetti responded…

Who Uses Bundled Rate Manager?

(1) organizations negotiating pricing (e.g. benefits management companies, payers, TPAs,

self-insured employers)

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Payers

(2) Administrative staff (schedulers; financial case managers; billing and collection team)

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Who Uses Bundled Rate Manager?

Practices

(3) All treatment team members (surgeon, anesthesiologists, vendors, etc.)

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Who Uses Bundled Rate Manager?

Providers

ProcedureComplete

Record Benefits and Authorization Confirmation

Notify Treatment Team to Coordinate

Scheduling Track Payment Authorizations

Disburse Bundled Rate Payments to

Treatment Team

Case OPEN

Case CLOSED

How does it work?

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Key Features

Create bundle payment configurations across multiple payers

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Key Features

… and across treatment team members

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Key Features

Coordinate scheduling with all treatment team members

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Key Features

Automatically calculate patient and payer payments

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Key Features

Send notifications when surgery scheduled or payments received

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Key Features

Allocate and track bundled payments based on negotiated rate

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Key Features

View reports and performance metrics

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$275 per user per month (average 5 users per practice)

0.75% of bundled rate (e.g. $150 for $20,000 procedure)

Simple Pricing

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And if that’s not enough… here’s what

others are saying…

“Bundled payments have the potential to reward providers that deliver more value to their patients—better outcomes at lower costs”

~ Harvard Business Review

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“Applying bundled payment models …nationally could save Medicare about $46.6 billion over the next seven years”

~Senator Elizabeth Warren

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“Comprehensive bundles create benefits for ASC, insurers, physicians and patients”

~ Becker’s ASC Review

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“The next generation of healthcare reimbursement lies in bundled payments”

~ Aver Informatics

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A bundled payment means “we are incented and are aligned to provide the best care for that patient at the lowest cost.”

~ Dr. Craig Samitt, CEO Dean Health System

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Dr. Mike Crovettimike@globalratemanagement.com

Kayla Bless

kayla@globalratemanagement.com+1 702 – 933 - 5640

Let Bundled Rate Manager help you

start a bundled rate program!