We help providers optimize financial performance under CJR and CMS value-based payment.

Hospitals in 67 metropolitan areas are now being paid for THR and TKR in Medicare patients on a “bundled basis”, with the episode including not only services provided during the index hospitalization, but also those provided within 90 days post-discharge. The latter include admissions to SNFs and LTACHs, as well as home care and hospital readmissions.


As a result of this bundled payment arrangement, it is now the provider who pays for unnecessary services, low value services and services provided to manage complications. Hospitals performing THR or TKR on Medicare beneficiaries thus have a strong incentive to maximize efficiency and minimize complications, readmissions, admissions to and lengths of stay in SNFs and LTACHs, and services provided by physicians and facilities that are not part of the hospital’s CJR Team.


Based on 10 years of experience with bundled payment and use of best clinical practices at Geisinger Health System, xG Health now provides a complete solution to help hospitals optimize their financial performance under CJR and CMS value-based payment (e.g. financial penalties for 30 day readmissions).

Our solutions includes:


  • An evaluation that will identify the best opportunities for cost savings, given your current practices and performance.
  • An evaluation of the post-acute facilities and home health option for cost-effective outcomes.
  • Assistance in education of staff in the care model.
  • Monthly data analyses to monitor service use and cost, by surgeon and facility.
  • Assistance in medical optimization and patient education prior to surgery.
  • Standardization of the inpatient care protocol around a set of recommended best clinical practices and target LOS.
  • Discharge planning and assistance in management of the transition of the patient from the inpatient setting to home or a preferred post-acute facility.
  • Recommendations regarding best practices for physical therapy and DME in the post-acute setting.
  • Assistance in coordination of care for 90 days post discharge focusing on surgical complications, readmissions related to surgery as well as medical management of co-morbid conditions.
  • Advice regarding potential gainsharing models for dividing savings among participating physicians and facilities.
  • Ongoing guidance regarding changes in CJR regulations.

Don’t find out the painful way that you need assistance in order to do well financially under CJR; let an experienced entity, like xG Health, help you make, rather than lose money.

For more information about our CJR services, contact Andrew Blackmon.

Mike Bertrand
Chief Technology Officer

Chief Technology Officer Mike Bertrand is a seasoned software executive with nearly three decades of experience leading the design and development of enterprise healthcare software solutions for hospitals, health systems and healthcare advisory firms.

Before joining xG Health, Mike was vice president of product development for HealthWyse, a leading provider of software solutions for the home healthcare industry. While at HealthWyse, he built and managed a highly regarded development group that was responsible for designing and delivering the leading mobile product for home healthcare professionals.

Previously, Mike spent more than eight years at PatientKeeper, a provider of EHR application integration platforms. As vice president of software development, he led the design and delivery of a large portion of the PatientKeeper product suite. Most notably he spearheaded the design and delivery of PatientKeeper’s computerized physician order entry (CPOE) application, which was voted “Best in KLAS” by KLAS, a leading healthcare research and insights firm. Before joining PatientKeeper, Mike also served as the director of software development for McKesson Corp. and as a software consultant at the Dana-Farber Cancer Institute.

Mike earned his bachelor’s degree in computer science from Westfield State University in Westfield, Massachusetts.

Andrew Blackmon, MBA, MHS
Chief Sales and Business Development Officer

Chief Sales and Business Development Officer Andrew Blackmon, MBA, MHS, has more than 18 years of experience in healthcare product sales, marketing, and strategy.

Before joining xG Health, Andrew was vice president of sales for population health and risk management solutions at McKesson. He came to McKesson through acquisition of MedVentive, an early population health vendor. Before MedVentive, he served as vice president of enterprise solutions development at MedAssets. He is a past president of the Georgia chapter of HIMSS, and he has held strategy and planning positions at PricewaterhouseCoopers and Orlando Health.

Andrew has an MBA and a Master’s of Health Science from the University of Florida Warrington, College of Business, and a Bachelor of Arts degree in Psychology from Rollins College.

Holly Barbella, RN, MBA

Risk Coordinator, Geisinger Health System

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Earl P. Steinberg, MD, MPP
Chief Executive Officer

Earl P. Steinberg, MD, MPP, is a nationally recognized expert in healthcare quality improvement and serves as xG Health’s chief executive officer. Earl also is an adjunct professor of Medicine and of Health Policy and Management at Johns Hopkins University and a member of Blue Cross/Blue Shield Association’s National Medical Advisory Panel.

Before joining xG Health, Earl was executive vice president of Innovation & Dissemination, and chief, Healthcare Solutions Enterprise at Geisinger Health System.

Before joining Geisinger, he was senior vice president for Clinical Strategy, Quality & Outcomes at WellPoint, Inc., the largest commercial health insurer by membership in the US, and president and CEO of Resolution Health Inc. (RHI), a leading healthcare data analysis company that provides innovative quality improvement and cost reduction services to health plans, employers, pharmacy benefit managers, and disease management companies.

Before joining RHI, Earl spent six years as vice president of Covance Health Economics and Outcomes Services Inc., director of its Quality Assessment and Improvement Systems Division, and co-director of its Outcomes Studies Group. He also spent 12 years on the full-time faculty at Johns Hopkins University, where he was professor of Medicine and of Health Policy and Management and director of the Johns Hopkins Program for Medical Technology and Practice Assessment, and four years on the Federal Physician Payment Review Commission. He co-chaired the Institute of Medicine’s panel on Standards for Development of Trustworthy Practice Guidelines.

Earl has received many awards, including the Henry J. Kaiser Family Foundation Faculty Scholar Award in General Internal Medicine (1984), the “Outstanding Young Investigator” Award from the Association for Health Services Research (1988), and a Special Presidential Visionary Award from the National Kidney Foundation (NFK) (2004) for his work as the scientific director of the NKF’s landmark Kidney Disease Outcomes and Quality Initiative, which produced more than 250 clinical practice guidelines for management of patients with end-stage renal disease. He also is a fellow of both the American College of Physicians and AcademyHealth, and he has published more than 125 articles in peer-reviewed journals.

Earl received his AB from Harvard College (summa cum laude), his medical degree from Harvard Medical School, and a Master of Public Policy from the Kennedy School of Government. He performed his residency training in internal medicine at Massachusetts General Hospital.