Background
A large orthopedic group was bundling their payments for certain procedures in their medicare and commercial populations. The group’s engagement included all care before and up to 90 days post visit. They had begun rapidly increasing market share in both populations and procedures. As a result, their existing billing technology, including patient tracking, became increasingly inadequate as they tried to meet future program needs and goals.
Solution
Element partnered with the clinicians and financial operators to create a technology workflow highlighting best practices throughout the entire patient engagement. This included pre-assessments, patient intervention worklists, and advanced reporting. The technology included easy-to-access tracking and required touchpoints by Medicare. Element consultants partnered with clinicians to leverage their best practice for patient optimization on every bundled patient.
Results
The December, 2015 go-live date was met on budget, with all clinical success tracking measures completed and operating. The technology was found to be so helpful, it was created for Medicare, commercial and combination Medicare/commercial patient populations.