Signature is pleased to offer CJR-X & TEAM Model consulting services, with comprehensive episode-of-care support for hospitals and physician groups participating in CMS bundled payment programs.
Why Choose Signature Medical Group?
We have a proven track record. We have deep experience guiding hospitals and physician groups through multiple CMMI episodic payment models.
We provide end-to-end support. From data analytics through sharing arrangement design, reconciliation, and audit support, we are your one partner, every step of the way.
We share aligned incentives. Hospitals, physicians, and post-acute partners are aligned around shared savings via funds flow models.
DATA ANALYTICS
- Historical Data Opportunity Analysis for Hospital and Physicians
- Monthly Data Processing
- Performance Reporting at Hospital and Physician Level
- Performance of Post Acute Care Providers
Data analytics are essential in value-based care models. CareMOSAIC includes:
Performance Dashboards
Real-Time Reporting
Link Financial, Clinical, and PRO Data
CARE MANAGEMENT PLATFORM
Designed by case managers for case managers who are implementing value-based care models, transitional care, and episodic case management to perform less tasking and more time providing patient care.
User Flexibility
- Web-based, HIPAA compliant platform
- Intuitive, flexible, adaptable, built to follow individual case manager’s work flow
- Ability to include and manage patient episodes from multiple value-based care models, such as ACOs, Medicare, and commercial bundled payments
- Robust IT support and help system
- Frequent and meaningful enhancements based on requests from users
Episodic Case Management Features
- Customizable platform to include visual icons regarding important patient concerns, such as pending clearances and high-risk patient health conditions that exceed practice thresholds
- Case Management Dashboard to quickly assess off plan patients, daily call schedule, and patient risk level based on pre-op risk assessment
- Includes goal setting module, which allows case manager to manage and achieve patient goals throughout episode of care, such as smoking cessation, medical clearances, and prior level of function
- Work flow template of care plan and/or care pathway auto-generated based individual physician protocols and patient need
- Evaluate performance, post-acute care utilization, and re-admissions in real-time
Facilitates Care Coordination with All Providers
- Customizable patient list and care pathway to PDF export for physician and downstream provider communication
- Integration with any EMR or PM system to share information
- Single location to manage patient care plans, transitional care, and follow-up care needs throughout an episode
- Automated patient-reported outcomes and CAHP surveys
- Enhanced patient engagement and education tools
VALUE-BASED CARE CONSULTING
- Clinical Management Coordination and Education
- Physician Alignment
- Post Acute Care Network Development
- Access to Network of Experienced CMMI Episodic Model Executives
SHARING ARRANGEMENTS
- Physician Alignment, Education and Support
- Funds Flow Design and Documentation
- Quality Metric Selection and Defined Activities for Incorporation
- Sharing Methodology and Design
- Support for Legal Sharing Arrangements
- Quarterly Reports and Updates
- Reconciliation Verification and Identification of Drivers / Losses of Savings
- Annual Report Detailing Savings and Distribution of Reconciliation Earned
- Support for Any Audits or Requests from CMMI Related to Reporting Requirements
- Optional: Internal Cost Savings Program
Let’s discuss how Signature Medical Group can support your CJR-X or TEAM episode strategy. Contact Matt Civili at 314-495-9716 or via email.