“There are two sides to what we do – part of our care management solution really focuses on education for the staff inside of the office that is already there. With the changing roles, it’s not just the position that needs to know the rules, it’s the entire staff. They need to operate as a team to care for patients. The other side offers services that help us to position to feel as if there are an extra set of hands in the office.”
By streamlining clinical processes, implementing innovative educational programs, and managing revenue cycles, coding, billings, Subsero Health assists medical practices to make a smooth transition to value-based care.
Bundled payments, whereby a provider or multiple providers are reimbursed a single payment for all their services related to an episode of care, such as a surgery, rather than being paid for each individual service, are meant to reduce spending while increasing the quality of care. With the goal of reducing the volume of services provided, physicians will have to be much more deliberate and proactive in the care planning and coordination.
To learn more about the impacts bundled payments have upon physician reimbursements, I spoke with Inita Bedi, Managing Partner, Subsero. She outlined:
If healthcare’s fee-for-service model, where physicians are paid for each and every instance of care that they provide patients, was a patient, it would be in hospice. Its final days will be painful and scary for many in our industry, not only because its time is drawing to a close, but also because a new, unfamiliar model, value-based care, is rapidly maturing to take its place.
I had the opportunity to sit down with Neil Bedi, Managing Partner, Subsero Health, to discuss the vast and significant reimbursement changes physicians face in the very near future. Below is an excerpt of our conversation where he describes:
