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As part of the Department of Health Care Policy & Financing’s efforts to shift providers from volume to value, the Department is implementing a bundled payments program. This voluntary program is designed to incentivize providers to deliver the appropriate care at the right time. Under the proposed model, a provider who clinical experts have deemed as having the greatest ability to influence the episode is accountable for the success of the episode.
Due to COVID-19, the program start date has been delayed from July 1, 2020, to October 1, 2020.
Improving maternal health is a key goal of the State of Colorado and utilizing an episode-based approach has been shown to improve quality while effectively managing costs. Bundled payments are a provider focused payment model that incentivize providers to deliver the appropriate care at the right time. The Department is proposing to implement this voluntary pilot July 1st, 2020 and the program includes all prenatal, delivery, and postpartum care for the mother. The Department has determined the delivering obstetrician will be the Principal Accountable Provider (PAP) due to its ability to influence the success of the episode. Obstetricians who are interested in becoming PAPs will have an episode budget calculated based on their historical claims data. In many bundled payment programs, PAPs typically share in upside and downside risk for the episode. The Department is proposing upside-only in the first year of the pilot program while participants develop clinical pathways to improve a mother’s care experience.
Due to COVID-19, the March 25, 2020 meeting was postponed. There will be two more meetings in June (See Stakeholder Engagement for more details). These meetings will be virtual-only.
Public meetings will be held in 2020 to solicit stakeholder feedback on the program. The content of the meetings will build from one meeting to the next and stakeholders are encouraged to attend as many meetings as possible. Stakeholders may also submit written feedback to email@example.com
Public Meeting #1 - Wednesday, March 11, 2020 - 5:00-6:30 p.m.
The purpose of the first meeting is to provide an overview of the voluntary pilot program and to identify key areas of stakeholder feedback to be discussed in future meetings.
Public Meeting #2 - Tuesday, March 17, 2020 - 7:30-9:00 a.m.
The purpose of the second meeting is to discuss key areas of stakeholder feedback identified in the first meeting and through written feedback.
Public Meeting #3 - Monday, June 22, 2020 - 5:00-6:30 p.m.
The purpose of the third meeting is to serve as a refresher and update from prior meetings.
REGISTER FOR MEETING #3
Public Meeting #4 - Tuesday, June 30, 2020 - 7.30-9.00am
The purpose of the fourth meeting is to incorporate feedback from Public Meeting #3
REGISTER FOR MEETING #4
Questions? Email firstname.lastname@example.org
For information concerning Bundled Payments please contact: Trevor.email@example.com