Darcie Hurteau
Darcie Hurteau has worked in the healthcare industry for more than 15 years. For the last 10 years, Darcie has helped hospitals and other healthcare providers understand changes in Medicare's reimbursement systems. As Director, she leads the DataGen team that provides decision support and education to hospitals and health systems across the country as they prepare for health reform payment strategies. Darcie started her career in healthcare finance at Albany Medical Center in Albany, New York.
Articles
OCM PP1 True Up 1/PP2 Initial Reconciliation—Lessons Learned
CMS recently released the Oncology Care Model (OCM) performance period 1 (PP1) true-up 1 and the performance period 2 (PP2) initial reconciliation. The performance data show some practices may be gaining traction with their success, while others have found it difficult to make progress as CMS continues to refine the payment methodology for the model across performance periods.
OCM Performance Period One Initial Reconciliation
CMS has released the first round of reconciliation data from the Oncology Care Model (OCM) bundled payment program. Interestingly, some of the practices that did well were surprised to learn they they’d achieved savings, and some participants were pleased to find out that their level of performance met expectations.
The Fallacy of Estimating OCM Target Prices
Estimating episodic target prices for each patient in the Oncology Care Model (OCM) can be challenging and time consuming. Applying that time to quality-focused care management tactics, based on observed utilization and patient outcomes, may wind up being more valuable, and help to reduce unnecessary spending.
CJR Voluntary Participation—Should I Stay or Should I Go?
This article focuses on the financial results that may accrue to a participating hospital throughout the remainder of the Comprehensive Care for Joint Replacement program as a result of the migration from historical baseline to regional target rates, and rebasing of the historical baseline.
Three Operational Issues to Look for in the BPCI Advanced Announcement
Current and potential Bundled Payment for Care Initiative (BPCI) participants are looking for answers to 3 key operational questions about BPCI Advanced. Here, we discuss what to look for in terms of quality metrics, gainsharing rules, and evaluation and participation periods.
