Medtronic Orthopedic Solutions

MEDTRONIC ORTHOPEDIC SOLUTIONS

The partnership you need to successfully move forward in value-based healthcare.

VALUE-BASED HEALTHCARE SIGNIFIES A POWERFUL CHANGE FOR THE BETTER. ARE YOU FACING IT HEAD ON?

The Comprehensive Care for Joint Replacement (CJR) program and the Bundled Payment for Care Improvement (BPCI) initiative from the Centers for Medicare and Medicaid Services (CMS) indicate a disparity between costs and outcomes. Costs are rising without a positive impact on outcomes. To address this, CMS is incentivizing hospitals to focus on value rather than volume, and to improve patient care while reducing overall episode cost.1

PARADIGM SHIFTS DON’T HAPPEN OVERNIGHT

Value-based healthcare programs are here from CMS today

An entirely new approach is needed immediately to ensure sustainability and efficiency. The approach requires hospitals to think beyond what happens within their own walls, to the patient’s entire episode of care, inclusive of pre-op preparation, recovery, and overall wellness. But the process of changing to this new value model — which includes shifting departmental alignment, service line infrastructure, organizational goals, and technology requirements — is daunting.

Value-based healthcare programs are here from CMS today. Private insurers and employers are likely to follow. For providers who seek to continue to provide joint replacement care, adapting to this change is imperative.1

THE OPPORTUNITY IN VALUE-BASED HEALTHCARE, AND CONSEQUENCES FOR THOSE WHO FAIL TO ADAPT, WILL GROW OVER TIME.2

Reconciliation payments will change with time. Those who invest in organizational change today have an opportunity to become centers of excellence—positioning their businesses for growth and success.

Hospitals that implement change sooner are more likely to benefit later on:

Value Based Health Care Opportunities and Consequences

Reconciliation stop-gain /loss rates are mandated by CMS

AN ESTABLISHED METHODOLOGY FOR SUCCESS IN VALUE-BASED HEALTHCARE HAS ALREADY BEEN FORGED

For hospitals that want to proactively navigate the new healthcare landscape, know that a transformational path has already been forged.

Medtronic Orthopedic Solutions is a turnkey, value-based healthcare change management approach that centers on a dynamic collaboration between Medtronic and the hospitals with which we partner. Using our tested Care Pathway methodology—devised by expert physicians and veteran hospital administrators who have had success in their own institutions—we will help to deliver the right approach to manage episodic costs and align short-term and long-term physician and provider incentives.

OUR MISSION

Through long-term partnership, patient outcomes are maintained or improved while costs are reduced across the entire episode of care.

Creating the necessary institutional change requires a belief in the promise of value-based healthcare. The belief that care can be improved while eliminating unnecessary utilization and cost is a goal of our orthopedic business, and one that will guide our partnership from day one. 

OUR GOALS

  • Maintain or improve patient outcomes
  • Improve quality of care
  • Reduce costs
  • Reduce practice variation
  • Share risk
  • Create true partnerships
  • Align stakeholders to ensure collaboration across the continuum

OUR Guiding PRINCIPLES

  • Collaboration with expert physicians and veteran hospital administrators who have had success with bundled payments in their own institutions
  • Focus on the 90-day episode of care
  • Align short-term and long-term physician and provider incentives
  • Provide high quality, affordable solutions
  • Measure our mutual success together

CRITICAL SUCCESS FACTORS

  

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Focused Solutions throughout the continuum of care

When it comes to identifying areas primed for meaningful cost reduction, Medtronic Orthopedic Solutions’ focus spans the entire episode of care with customized solutions

Focused Solutions throughout the continuum of care

EXAMPLE COST BREAKDOWN FOR A 90-DAY EPISODE

 

OUR FOCUS AREAS ADDRESS THE ENTIRE EPISODE OF CARE

DRIVE PHYSICIAN ENGAGEMENT

CARE PATHWAY: RISK SHARING


References

1

Comprehensive Care for Joint Replacement Model. Centers for Medicare & Medicaid Services. https://innovation.cms.gov/initiatives/CJR. Updated October 5, 2016. Accessed October 13, 2016.

2

Comprehensive Care for Joint Replacement Model—Provider and Technical Fact Sheet. Centers for Medicare & Medicaid Services. https://innovation.cms.gov/files/fact-sheet/cjr-providerfs-finalrule.pdf. Accessed October 13, 2016.

3

The Milliman Report, October 2016.