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From Left, Josh Luke, NBPC Founder, Johnese Spisso, CEO of UCLA Health, and Kyle Hill, CEO of Home Hero at the first annual, sold out USC C-Suite Invitational. Luke and Coleman are collaborating to present the keynote presentation at the CMSA annual conference in Long Beach in June.

Dr. Josh Luke (left), and Dr. Eric Coleman, two of the most recognized voices on readmission prevention, chat during the first annual, sold out USC C-Suite Invitational, May 12, 2016 in Los Angeles.

From left, Marvin O'Quinn, COO Dignity Health; Johnese Spisso, CEO UCLA Health, Josh Luke, Author, Ex-Acute; Chris Van Gorder, CEO Scripps Health and Bill Caswell, SVP/COO Kaiser Permanente participate in the Leadership in Innovation Panel at the first annual USC C-Suite Invitational May 12, 2016 in Los Angeles.

NBPC Mission

A volunteer collaborative, the National Bundled Payment Collaborative's mission is to provide support, knowledge, expertise and education to health care providers and payers on the most effective means to coordinate care and operate a bundled payment program. The NBPC will unite industry experts to share 'Best Practice' case studies and experiences in care transitions to develop effective patient centered care models to best support the initiatives in the Patient Protection and Affordable Care Act (PPACA).

NBPC Vision

The Vision of NBPC is to showcase and share state-of-the-art 'best practices' and solutions between acute and post acute providers in improving bundled payment programs to achieve the triple aim of health care reform.

NBPC's Founding Executive Members

Dr. Josh Luke
Healthcare Futurist
University of Southern California

Harry Nelson
Nelson Hardiman
Founder & Managing Partner

Ruth Zaltsmann
Dignity Health
Bundled Payment Lead

Dr. Ronald Kaufman
Tenet Healthcare
California Region, CMO

White Paper

Why Hospitals and Payers are Recommending Home Care Upon Discharge Instead of SNF or Traditional Home Health Services

ABSTRACT: Seniors and other hospital patients in the United States have traditionally had the option of being discharged to a skilled nursing facility (convalescent home) for post-acute services, or home with nursing and therapy services provided in the home setting. Traditionally, these home based services have been referred to as "home health." As more Americans have retired, home health services have expanded and are readily accessible. This growth put tremendous stress on the Medicare fund which pays for senior care services. However, "Home Care," which traditionally has been viewed as non-medical home based services, has also become a booming industry for the cost conscious in recent years as more Americans reach retirement age. With the passing of the Affordable Care Act in 2010, providers and payers are now finding themselves responsible for post-acute care and continuous patient health, so cost efficient solutions for post-acute care are thriving. For the first time in history, American hospitals and Insurers are recognizing Home Care as an effective model that achieves the Triple Aim of Health Care reform. Home Care, which is no longer completely nonmedical services, has proven to be an integral part of the care continuum for seniors in recent years and is now becoming a viable solution for keeping patients well, while still honoring their desire to age and heal at home. This paper analyzes the benefits and risks of home care and provides a clear understanding as to why American hospitals are emphasizing SNF Avoidance and skipping home health, opting instead to refer patients directly to home care as the preferred discharge solution in a value based model.

Healthcare spending for seniors continues to balloon at alarming rates as ninety percent of seniors prefer to age and heal at home, as opposed to in a healthcare facility, With approximately 8,000 baby boomers a day turning 65 years old, the nation’s senior population is estimated to increase by more than thirty percent by 2025. As a result, Medicare expenditures are projected to double to greater than $800 billion by 2018. These expenditures will have a significant impact on hospitals, health systems and payers as Alternative Payment Models (APMs) become law.

Click here to read more

Announcing the Winner of the 2016 NRPC​/NBPC​ Innovation Contest

Cardiothoracic Post-Operative Compression Vest

Sternal dehiscence and instability are a significant cause of persistent pain and limited quality of life for patients who have undergone open heart surgery. Considerable wound pain with breathing, palpable sternal instability and local inflammation can persist for months. This patented, warp-knit fabric provides medical grade compression to help the body heal faster. It is engineered with Three Dimensional Stretch™ to ensure optimal compression and reduce pain. It ​differentiates itself from other vests as it is treated with Silvadur anti-microbial protection to help lower the risk of infections and improve recovery times.

Medical grade compression improves sternal stabilization, reducing pain and localized edema. The vest includes long lasting antimicrobial protection to help lower the risk of infection and resultant re-admissions or other complications. Cardiothoracic Post-Operative Compression Vests after any heart surgery have resulted in improved patient compliance with prescribed treatment protocol, reduced length of hospital stay and evidence-based re-admission reduction for cardiac patients.

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Ex-Acute The book featured on Aging Boomers Podcast

Recent Bundled Payment News

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  • Improved, more efficient care for individuals
  • Improved health for populations
  • Lower care delivery costs

Recent CCJR News

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BPCI Abbreviations, Acronyms
and Terms to Know
  • ACO: Accountable Care Organization, another of the Alternative Payment Models introduced by CMS.
  • APM: Alternative Payment Models. ACO's and Bundles are APM's, or "alternatives" to the fee for service reimbursement model.
  • BPCI: Bundled Payment for Care Improvement Programs, commonly known as "bundles".
  • CCJR: Comprehensive Care for Joint Replacement. The first mandates Bundled Payment Program.
  • CMS: Short for CMMS, the Centers for Medicare and Medicaid Services.

What is a Bundled Payment

The Bundled Payments for Care Improvement (BPCI) initiative is comprised of four broadly defined models of care, which link payments for the multiple services beneficiaries receive during an episode of care. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality and more coordinated care at a lower cost to Medicare.

For more information on Bundled Payments click here.

Resources & Tools

Senior Podcasts