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Search results for: Case Studies

First-Year Results of a Pilot Effort at a Nonprofit Medicaid HMO in Texas

A Case Study

HCI3 collaborated with CHC to design, implement, and measure a bundled payment program for maternity care, and the experience—both during the process of executing year one of the pilot, and upon review of the first year’s outcomes—yielded insights valuable to…

October 20, 2016

The PEBTF Total Joint Bundled Payment Pilot

A Best Practices Summary

Sixty-nine patients took part in PEBTF’s yearlong bundled payment pilot and the experience yielded meaningful lessons, described in detail throughout this case study. Under the bundled payment program for total hip and total knee replacements: The hospital facility and orthopedic…

August 30, 2016

Nation’s Largest Commercial Value-Based Healthcare Program Delivers on Triple Aim

Case Study: Horizon Healthcare Services

Even before the Affordable Care Act, Horizon Healthcare Services of New Jersey set out to change how healthcare is delivered. A few years into its initiative, the company runs the largest commercial Episodes of Care (specialty-value-based) program in the country,…

February 4, 2016

Transitioning to Value

PROMETHEUS Payment Pilot Lessons

As the healthcare system begins to transition from volume-based to value-based payment, industry stakeholders are experimenting with payment models that can effectively align incentives to generate high-quality outcomes while reducing the cost of care. Participants in a pilot of the…

April 9, 2012

OrthoChoice Brief

Initial Results Promising for Bundled Payment Model in Stockholm

In 2009, a bundled payment model was implemented for total hip and knee replacement on a health system level in Stockholm. In 2010, a joint study was set up in collaboration between the Stockholm County Council, Karolinska Institutet and the Institutet for…

December 14, 2011

Rockford Prometheus Pilot Case Study

The Rockford PROMETHEUS pilot was one of the original Robert Wood Johnson Foundation-funded implementation sites, which aimed to operationalize the PROMETHEUS model to address the range of issues. The objective of the pilot was to test the validity of the…

November 18, 2011

PROMETHEUS PAYMENT®

Pilot Assessment and Implementation Toolkit

Welcome! This toolkit is designed to provide the information you need to gain a solid understanding of the PROMETHEUS Payment model, consider the potential benefits of a pilot implementation and take action. It is meant for use by local health…

September 28, 2011

Bridges to Excellence (BTE) in Practice

SwedishAmerican Medical Group, Rockford, IL

Headquartered in Rockford, Illinois, SwedishAmerican Health System serves 12 counties in northern Illinois and southern Wisconsin.…

September 28, 2011

Rockford PROMETHEUS Pilot Scope and Evaluation

Pilot Site Geography The geographical center of the Rockford PROMETHEUS pilot is, of course, Rockford, IL. However, the extent of the Employer’s Coalition on Healthcare (ECOH) provider network and member employers covers a fairly large area roughly dissected by the…

September 28, 2011

Excellence in Chronic Care Management Program

Improve care, decrease expenses across six major conditions

The Excellence in Chronic Care Management program encompasses six chronic conditions: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, asthma, hypertension, and coronary artery disease (CAD). This program measures the quality and cost of care delivered in physician…

September 28, 2011

Raising the State of Care: A Custom Program to Target

six chronic illnesses and reward top-performing doctors.

By reducing potentially avoidable complications just 6%, this statewide benefits plan could save $10 million a year.…

September 28, 2011

How We’re Helping a Large Department of Health

fight back against avoidable complications.

To improve resident health and the community’s finances, we designed a scorecard that bundles a variety of measures into one robust performance assessment.…

September 28, 2011

Piloting PROMETHEUS®: Employers, Plans and Physicians

working together to reward greater quality and value.

Real payment reform won’t happen overnight. But for one employer coalition, a three-year pilot shows a promising way forward.…

September 28, 2011

Bridges to Excellence (BTE) in Practice

Family Doctors, LLC, Swampscott, MA

Family Doctors, LLC, opened in 1948 and is now comprised of eight family medicine physicians, a gynecologist, three nurse practitioners, a registered dietician and a clinical psychologist. The staff manages upwards of 40,000 patient visits per year.…

September 28, 2011

Bridges to Excellence (BTE) in Practice

Baughman Family Medicine, Harrisburg, PA

Baughman Family Medicine is a single physician practice providing care to patients in Harrisburg PA since 2000. Dr. Paul Baughman graduated in 1993 from Lycoming College and obtained his medical degree in Philadelphia at The Philadelphia College of Osteopathic Medicine.…

September 28, 2011

PROMETHEUS Total Knee Replacement Implementation Toolkit

This document serves as an addendum to the PROMETHEUS Implementation Toolkit and reviews variations on how to implement a Total Knee Replacement (TKR) episode using examples from three TKR PROMETHEUS pilots (Plans A, B and C). Topics addressed include variations…

September 23, 2011

Bundled Payment Case Study

This document serves as a case study for a Bundled Payment Pilot that began in February 2011. In addition to generally providing a blueprint for implementing a Total Knee Replacement (TKR) Bundled Payment Pilot, this document will also provide some…

September 23, 2011