Article
03 June 2024 - by Alyssa Pennini, Christopher Murphy, Maggie Alston, Noah Champagne, Pamela M. Pelizzari
The Transforming Episode Accountability Model, Medicare’s new approach for bundled payments, will impact a wide variety of acute care hospitals nationwide.
Article
28 March 2023 - by Carol Bazell, Harsha Mirchandani, Pamela M. Pelizzari, Katherine Brinkers
Insomnia and generalized anxiety disorder are common mental health conditions in the Medicare population.
Article
27 March 2023 - by Carol Bazell, Maggie Alston, Pamela M. Pelizzari, Brian A. Sweatman
With the CMS, Medicare Advantage organizations, Medicaid organizations, and health plans experimenting with bundled payments, we offer a primer and perspectives.
Article
28 July 2022 - by Harsha Mirchandani, Noah Champagne, Pamela M. Pelizzari
This article highlights considerations for providers interested in voluntary enhanced oncology model, which builds on concepts of a recently completed CMMI model designed to transform oncology care while reducing spending under Medicare fee-for-service.
Article
24 May 2022 - by Pamela M. Pelizzari, Bruce S. Pyenson, Matthew Emery, Anna Loengard
With hospital-at-home services, we found the bottom-up model cost payers about $7,000 less per episode than a top-down approach, assuming Medicare-like rates
Article
30 November 2021 - by Noah Champagne, Pamela M. Pelizzari, Sally Maraldo
The model was designed to test whether bundled, prospective, site-neutral, episode-based payments for radiation oncology services could lower Medicare expenditures while improving the quality of care.
Article
30 September 2021 - by Dane Hansen, Andrew Bochner, Pamela M. Pelizzari
This report analyzes an Episode-based Benefit Plan (EBP) design that could be offered to members enrolled in commercial health plans.
Article
12 May 2021 - by Bruce S. Pyenson, Pamela M. Pelizzari, Rebecca Smith, Helen Latimer
This report reveals a framework of useful principles for valuing the burden of Alzheimer's disease and potential treatments.
Article
30 March 2021 - by Dane Hansen, Pamela M. Pelizzari, Bruce S. Pyenson
This report discusses the economic and clinical burden of new osteoporotic fractures that occurred in 2016 among Medicare beneficiaries using information from a large administrative medical claims database.
Article
30 December 2020 - by Pamela M. Pelizzari, Suzanne Taranto, Eric Buzby
This paper looks at the Center for Medicare and Medicaid Innovation's bundled, or episode-based payment models and finds opportunities for employers, challenges in implementation, and services to target.