BPCI Advanced Survival Guide: How OCP Platforms Leverage
BPCI Advanced Survival Guide: How OCP Platforms Leverage Digital Automation to Avert the $5,000 Readmission Penalty and Protect Bundled Margins If you’re participating in CMS’s Bundled Payments for Care Improvement (BPCI) Advanced program in 2025, you already know the stakes are higher than ever. One unplanned 30-day readmission can now trigger a $5,000+ penalty per […]
Hospital Partnerships in Orthopedic Rehab: A Data-Driven
Hospital Partnerships in Orthopedic Rehab: A Data-Driven Approach to Bundled Payment Success The Strategic Value of Physical Therapy Partnerships for Hospitals Hospitals are under relentless pressure to avoid costly readmissions, coordinate care impeccably, and squeeze more value from bundled payments and risk-based contracts. Advanced digital care coordination solutions empower physical therapy networks to deliver powerful […]
How Digital Care Pathways Elevate Physical Therapy Outcomes
How Digital Care Pathways Elevate Physical Therapy Outcomes at Scale Why Standardized Rehab Matters in Outpatient Networks Outpatient physical therapy networks are experiencing accelerated growth in regions like Southern California, where competition among clinics is fierce and patient expectations are high. For several facilities, maintaining both clinical excellence and a patient-centered brand across multiple locations […]
Eliminating Orthopedic Cost Leakage in Total Joint Bundles
Eliminating Orthopedic Cost Leakage in Total Joint Bundles: The Power of Real-Time Surgical Benchmarking Technology In the high-stakes world of Total Joint Bundles, where fixed reimbursements meet escalating supply and labor costs, undetected orthopedic cost leakage erodes margins faster than most ASC and MSO leaders realize. A single percentage-point swing in implant spend or 15 […]
Beyond the EMR: Automating PROMs Capture and Post-Discharge
Beyond the EMR: Automating PROMs Capture and Post-Discharge Protocols to Protect Staff Capacity and CMS Compliance In orthopedic groups, ambulatory surgery centers (ASCs), and multi-site specialty practices, the transition from surgical volume to value-based reimbursement hinges on two non-negotiable metrics: reliable Patient-Reported Outcome Measures (PROMs) capture and airtight post-discharge protocol adherence. Yet most organizations still […]
Bundled Payments 2026: How Post-Discharge Variance
Bundled Payments 2026: How Post-Discharge Variance Silently Erodes Ortho Margins — Hip Fracture & Lumbar Care Leaks: When No Protocol Means No Profit Starting January 1, 2026, CMS’s mandatory bundled payment model (TEAM) will transform orthopedic reimbursement. Hospitals will be accountable for the entire episode of care, from surgery to post-discharge. But without standardized protocols, […]
The 80% PROMs Mandate: The Hidden $1.2M
The 80% PROMs Mandate: The Hidden $1.2M Risk Most Joint Programs Overlook – How AJRR Gaps and Rising Readmissions Are Putting 4-Star Hospitals on the Edge The Centers for Medicare & Medicaid Services (CMS) is raising the stakes for orthopedic programs with its new 80% Patient-Reported Outcome Measures (PROMs) mandate. Hospitals that fail to meet […]
10 Nursing Hours Lost Weekly: Manual Follow-Up vs
10 Nursing Hours Lost Weekly: Manual Follow-Up vs. Silent Post-Surgical Decline – Burnout and Undetected SSIs Are Creating a Crisis in Plain Sight Manual follow-up for post-surgical patients is a hidden crisis in hospital systems. Nurses spend an average of 10 hours weekly on manual follow-up, leading to burnout and undetected surgical site infections (SSIs). […]
From OR to 30 Days: A Practical Playbook for Hospitals, Surgeons
From OR to 30 Days: A Practical Playbook for Hospitals, Surgeons & ACOs to Win Under CMS’s New Episode Bundles MS’s Transforming Episode Accountability Model (TEAM) fundamentally changes how Medicare pays for several high-volume surgical episodes by shifting financial accountability to hospitals for care from the index admission through 30 days post-discharge. TEAM is mandatory […]
Episode-Based Success: A SolvEdge Roadmap for Managing Clinical Risk,
Episode-Based Success: A SolvEdge Roadmap for Managing Clinical Risk, Post-Acute Networks and Shared Savings Under TEAM Healthcare in the U.S. is in the middle of one of its most important shifts in decades. The Centers for Medicare & Medicaid Services (CMS) has introduced the Transforming Episode Accountability Model (TEAM) — a mandatory, episode-based bundled payment program […]