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Achieving Data-Driven Success Under the Oncology Care Model

Announced by the CMS in January 2015, OCM is one of the most recent programs in a litany of new experiments.   Simplifying and organizing the complex data and policy component of this program requires specialized expertise in healthcare analytics. Read about DataGen's recent work related to the OCM in Achieving Data-Driven Success Under the OCM , which identifies four critical areas data analytics will need to address for any bundled payment model. Download the article .

Evaluating Opportunities in the Medicare Comprehensive Care for Joint Replacement Program (and How to Act on Them)

It is critical that healthcare executives understand and stay abreast of the implications on their organizations of the rapidly evolving innovation in healthcare payment and delivery driven by Medicare and other payers. This white paper examines areas of opportunity and ways for hospitals to achieve CJR success. Download Now

Ten Things to Know Now That CJR is Final

CMS has released its final rule for the Comprehensive Care for Joint Replacement (CJR) model.  In addition to dropping one “C” from the acronym, there are several substantive changes from the proposed rule; most important of which is that the program will now begin on April 1, 2016.   DataGen is revising its analytics to reflect all of the changes.  We will be ready to share insights on opportunities under CJR prior to the program’s official start.  We have updated our "Ten Things" paper to reflect the final rule.   Download White Paper

Seven Things Every Post-Acute Provider Should Know About the Medicare Comprehensive Care for Joint Replacement Program

Hospitals may be the only risk-bearing entities under the Centers for Medicare and Medicaid Services' (CMS) Comprehensive Care for Joint Replacement (CJR) payment model, but there are major implications for post-acute care (PAC) providers.  Based on our review of the CJR program, this white paper outlines the top seven things PAC providers need to know about and act on to be successful partners in this and other emerging payment models. Download White Paper

The Top Ten Things You Need to Know About the Medicare Mandatory Bundled Payment Model

In July 2015, the Centers for Medicare and Medicaid Services (CMS) proposed its Comprehensive Care for Joint Replacement (CCJR) payment model, a pilot bundled payment program for the most common inpatient surgeries for Medicare beneficiaries—hip and knee replacements, known as lower extremity joint replacements (LEJRs). While CMS’ increasing interest in bundled payments has been apparent, the announcement of this mandatory initiative was a surprise to many, given that the Bundled Payments for Care Improvement (BPCI) demonstration program, initiated in 2013, is still in its early stages.  CCJR would be mandatory for hospitals in 75 Metropolitan Statistical Areas (MSAs). This white paper examines the top ten things every hospital executive should know about the proposed CCJR program, its relationship to the BPCI demonstration, and the implications of this model for other innovative payment models.  Download White Paper