Bundling payments for care episodes requires a foundation of flexible technology tools with four core competencies:

• Episode definition and initiation
• Episode resolution and financial management
• Clinical care management and process improvement
• Analytics for action

In this white paper, Douglas Moeller MD first outlines how to get started in creating a care episode payment model, then discusses these four competencies in detail.

Download the white paper here.

In this video, Matthew Zubiller, vice president of Decision Management at McKesson Health Solutions, discusses the challenges that payers and providers face in making sure that advanced diagnostics — molecular and genetic testing — are appropriately used. Key to helping payers measure and manage their use is the ability to understand which tests are being used, how many are being used, who is performing them and who is ordering them. Providers, on the other hand, need help in determining whether a test is appropriate for a particular patient, whether it is covered by the patient’s health insurance, what it costs, where it should be administered and what the potential impacts of the test might be.

Here, MHS medical director Douglas Moeller, MD, describes one of the industry’s most promising innovations: the bundling of payments for episodes of care. Dr. Moeller describes both the business and care management implications of bundled payment programs, touching on the key attributes of program success.

Emad Rizk, MD, president of McKesson Health Solutions, talks about personalized medicine and the progress the industry is making in better understanding the role of molecular diagnostic testing in delivery efficient, cost-effective care. Key foundational elements of any molecular diagnostics program are greater process automation and enhanced alignnment of all participants in the care process.