Bundled Pricing…
- Will be an integral component of health care reform…
- Is CMS’ preferred alternative payment methodology…
- Appeals to payers because of transparency, elimination of variances, shifting of risk…
- Aligns hospital and physician incentives…
- Will benefit those who get to market FIRST!
TRG’s consultants are the bundled pricing experts with more bundled payment experience than anyone else in the U.S.
Only TRG assisted all 5 CMS Acute Care Episode “ACE” Demonstration Site Hospitals!
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TRG’S Bundled Pricing Experience
The consultants of TRG have more bundled pricing experience than anyone else in the U.S. Over the last 15 years, our principals have constructed more than 100 bundled pricing packages for both Medicare and non-Medicare payers. We have successfully marketed bundled payments to self-funded corporations, managed care networks, and Medicare.
Only TRG has assisted all five of the current CMS Acute Care Episode “ACE” Demonstration sites.
Our services included:
- Hospital-physician bundled price development
- Completion of CMS application and proposal submission
- Benchmarking of quality and related data points
- Financial impact modeling including market opportunity and efficiency analysis
- Gainsharing development
- Billing and payment algorithm and process development
- Patient identification systems development
- Marketing and public relations plan development
- Physician and practice management education
- Hospital staff education
With health care reform here, hospitals and physicians need to begin preparing for bundled payment methodologies. TRG can ensure your preparedness for both Medicare and non-Medicare bundled payments AND help you gain market share in the meantime by developing a bundled price proposal for non-Medicare payers.
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TRG’S Bundled Pricing Approach
TRG assists hospitals and physicians in developing bundled pricing packages for CMS demonstrations AND non-Medicare payers.
Our services include:
- Serving as the facilitator and intermediary between hospital and physicians;
- Determining procedures to be included in bundled package;
- Utilizing physician-provided claims data or preparing an actuarial estimate for physician component;
- Consulting pool and outlier methodology development;
- Profitability and breakeven analysis to assess bottom line impact;
- Development of operational patient identification, tracking and payment system; and
- Development of Letters of Agreement between hospitals and participating physicians regarding terms and conditions.
Our proven progress can be completed in as little as four months:
In addition to development, our experienced consultants will also take your proposal to market thereby enabling you to:
- Increase market share
- Create greater alignment between hospital and physician partners
- Gain valuable experience for CMS demonstration expansion
To learn more about TRG’s bundled pricing services, please email shall@trghcsolutions.com or call 303-300-5251.
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