Leveraging BPCI Advanced in Medicare Advantage to Help Physicians with QPP-AAPM Requirements

This is the second of our Executive Webinar Series: Transforming Healthcare with Value-Based Payment & Benefit Strategies. 

Remedy Partners discusses the Medicare Quality Payment Program (QPP) Advanced Alternative Payment Model (AAPM) track. Qualifying for the AAPM track guarantees physicians a 5% bonus on their Medicare Part B fee-for-service revenue.

Medicare Advantage plans that apply the Bundled Payments for Care Improvement (BPCI) Advanced model can help physicians reach the revenue threshold required to qualify for the AAPM track. 

This webinar will discuss:

  1. What Medicare Advantage, and other commercial payers, must do to have their Alternative Payment Models (APMs) qualify as AAPMs
  2. A step-by-step guide for Medicare Advantage plans' APMs to qualify as AAPMs
  3. The All-Payer AAPM combination option to help physicians qualify for the QPP-AAPM track


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Original Air Date: July 9, 2018

François de Brantes
Senior Vice President, Commercial Business Development
Valinda Rutledge
Vice President, Public Payor Health Strategy, Care
Coordination Institute, Greenville Health System
More on the speakers:
François de Brantes

François de Brantes serves as Senior Vice President of Commercial Business Development at Remedy Partners. He leads customer development of the Medicare Advantage, Self-Insured Employer and Commercial Payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers in order to encourage value-based decisions.

Prior to joining Remedy Partners, he served as Vice President of Altarum, a national nonprofit. From 2006 to 2016, he was Executive Director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of healthcare delivery. The organization, which merged with Altarum in December 2017, was responsible for the Bridges to Excellence® (BTE) and PROMETHEUS Payment® programs, which compensate and reward clinicians that focus on episodes of care and performance measures. Prior to HCI3, François was Chief Operating Officer of the eHealth Initiative (eHI), which promotes the adoption of health information technology in the U.S. He led the development of eHI’s HIE Value and Sustainability Model, a method to value services offered by Health Information Exchanges. Early in his career working in General Electric’s corporate health care department, he was involved in many strategic programs that created, connected and supported active consumers, and defined market mechanisms to reward providers for better performance. François holds a master’s degree in Economics and Finance from the University of Paris IX-Dauphine and a master’s degree in Business Administration from the Tuck School of Business Administration at Dartmouth College.

Valinda Rutledge

Valinda Rutledge is currently the Vice President, Public Payor Health Strategy in the Care Coordination Institute at Greenville Health System, SC. She is responsible for identifying, analyzing and supporting the implementation of opportunities related to government initiatives such as bundled payments, Medicare advantage, Medicaid pilots, dual eligibles, PCMH and ACOs. She previously worked as a founding member of the leadership team (Senior Advisor and Group Director) at the Center for Medicare and Medicaid Services Innovation (CMMI) where she helped build the Innovation Center from its startup phase and managed the design and launch of several of the Center's models. In particular, she led the development and rollout of the Bundled Payment for Care Improvement Initiative, Strong Start and other national programs related to care transformation.

Before joining CMS, Rutledge served as the Chief Executive Officer of several systems including Bon Secours, SSM Health and CaroMont Health in Gastonia, North Carolina where she led the development of a 210-day bundled knee payment arrangement between CaroMont Health and North Carolina's largest health insurer, Blue Cross and Blue Shield of North Carolina. She received the 2013 Becker’s Healthcare Leadership Award, which is given to the top 30 individuals in the nation who demonstrate leadership and impact to the industry on a national level. She currently serves on several National Scientific Advisory Boards including Parkland Center for Clinical Innovation (PCCI) and as a subject matter expert for SG2 (part of Vizient) where she is responsible for assisting in the development of SG2’s national thought leadership regarding payment transformation. Rutledge holds two advanced degrees: a Masters of Business Administration degree from Butler University in Indianapolis and a Masters of Science degree in nursing from Wayne State University in Detroit. She is frequently sought as a national speaker in the area of payment, clinical innovation, and population health.