We are highly experienced in provider integration, direct contracting and episode pricing.

Hands-on Experience:

  • 55 primary physician IPAs utilized by 70 employer direct contracts (Burgett & Dietrich)
  • 32 physician hospital organizations (Community Health Network)
  • Over 500 unique case rate bundles with 75 contracted healthcare providers for commercial patients (BridgeHealth)  

Hospitals, health systems and physician organizations are interested in pivoting from the CMS Bundled Payment for Care Improvement (BPCI) program to developing commercial bundles for payers, employers and narrow network products. 

A program focused on commercial bundles provides a number of opportunities:

  • Gaining incremental commercial market share
  • Recognition for high value service-lines
  • Integration and partnership with key clinical groups
  • Enhanced business relationship with employers and plan sponsors
  • Improved insight into service delivery and care pathways