Subsero Health, an administrative company that specializes in assisting Accountable Care Organizations, today announced the opening of MAXhealth Naples located at 730 Goodlette Rd. Unit 103, Naples, FL 34104.
“The decision to expand MAXhealth’s presence into the Naples area was a logical step in our business growth strategy,” said Inita Bedi, Managing Partner, Subsero Health. “The area is rich with talented physicians seeking assistance with a smooth transition to value-based care reimbursement models. Our team looks forward to this tremendous opportunity.”
“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:
The traditional approach to fee-for-service healthcare reimbursements is losing it grip upon physicians, and it’s being replaced by more innovative value-based care models.
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:
Jason Free, Director of Marketing, Education and Engagement, Subsero Health
Welcome to our new Subsero Health blog.
We hope this page will become a regular stopping point for your searches on the latest viewpoints and news relating to healthcare’s shift away from fee-for-service and toward value-based care. Topics such as MACRA, MIPS, APMs, practice management, care management, and patient experience will be discussed and analyzed at length with the hope of demystifying the evolving medical landscape for those seeking guidance, and even reassurance, as healthcare undergoes historic changes.
Vermont’s Green Mountain Care Board has approved a $620 million budget for OneCare Vermont, the state’s multi-payer accountable care organization.
The budget approved Thursday marks the beginning of a five-year experiment to transform health care in the state. The Burlington Free Press reports the new plan to lower the overall cost of health care will have pay doctors whether their patients are sick or not.
As a leader in healthcare’s evolution toward value-based care, Subsero Health, a Sarasota-based ACO management company, announced today that one of its clients, Health Point ACO, LLC, has earned the Centers for Medicare and Medicaid Services (CMS) nearly $7 million in savings for the 2016 calendar year.
“While we are proud that our hard work yielded a substantial savings for the government as well as our patients,” said Neil Bedi, Managing Partner, “we are humbled by the superior quality score we earned. The health of our patients is our top priority.”