S E R V i C E S:
BUNDLED PRICING
Under health reform, hospitals and physicians need to be ready for bundled payment methodologies. Bundling payments is CMS’s preferred payment methodology and appeals to payers in general because of its transparency, elimination of variances, shifting of risk, and manner in which it aligns hospital and physician incentives. TRG can ensure your preparedness for both Medicare and non-Medicare bundled payments and help you gain market share by developing a bundled price proposal.
The consultants of TRG have more bundled pricing experience than anyone else in the U.S. Over the last 15 years, our consultants have constructed more than 100 bundled pricing packages for both Medicare and non-Medicare payers. We have successfully marketed bundled payments to self-funded corporations, managed care networks, and Medicare. In fact, we are the only company to have worked with all 5 of the current CMS ACE Demonstration sites.
Serving as an independent third-party facilitator and intermediary between hospital and physicians, we can assist your organization in the following ways:
- Work with your medical staff regarding bundled payments and how they can benefit by participating
- Develop a complete financial package including break even/profitability ROI analysis to ensure success
- Consulting pool, outlier methodology development, and risk assessment
- Development of operational patient identification, tracking and payment system
- Development of Letters of Agreement between hospitals and participating physicians regarding terms and conditions
Our proven process can be completed in as little as four months:
| Month 1 |
Month 2 |
Month 3 |
Month 4 |
 |
Data
Collection &
Analysis |
Package
Development & Pricing
Strategies |
Infrastructure
& Proposal
Development |
Final
Package
Preparation |
In addition to proposal development, our experienced consultants will take your proposal to market, thereby enabling you to:
- Increase market share
- Create greater alignment between hospital and physician partners
- Gain valuable experience for CMS’s Pilot expansion
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