xG Health Solutions and Geisinger Health System Add 20 Hospitals to Their Bundled Payment Collaborative

Columbia, Md.—May 08, 2014—As a result of the recent expansion of the Bundled Payment for Care Improvement (BPCI) initiative by the Centers for Medicare and Medicaid Services (CMS), Geisinger Health System (GHS) and xG Health Solutions™ have announced partnerships with 20 additional hospitals, and they will support those organizations as they continue their journey toward value-based care.

All participants in the Geisinger-xG Health BPCI collaborative gain access to the team of experts from both entities and educational programs, and they can partner with xG Health on the services it provides for reengineering care delivery and transitioning from volume to value.

“Adopting bundled payment methodology will encourage providers to examine their approach to care delivery,” said Earl Steinberg, MD and CEO of xG Health. “And this is where we are leveraging the vast experience of Geisinger and xG’s analytic capabilities to help those providers be better prepared for risk-based payment arrangements.”

Bundled payments have recently received attention as a rapidly emerging reimbursement method that provides better cost control, while focusing on high-quality care delivery for patients. Geisinger, a nationally recognized innovator in developing and implementing advanced care delivery models, has had a long and successful history in the bundled payment arena. The organization has had more than a decade of experience working collaboratively with CMS on similar projects, such as Physician Group Practice and Physician Group Practice Transition Demonstrations. Geisinger has also been a CMS Center for Medicare and Medicaid Innovation (CMMI) Facilitator Convener for the Bundled Payment for Care Improvement (BPCI) initiative since 2012.

The BPCI initiative is an opportunity for providers to participate in innovative payment reform.

“We strongly believe that this program provides a great opportunity for providers to prepare for the future of pay-for-value reimbursement and that physicians and hospitals should begin this journey now, if they haven’t already,” said Dr. Thomas R. Graf, chief medical officer of population health at GHS, who has led this initiative and who is a nationally-recognized expert in episode and bundled payment strategy and implementation.

xG Health serves as Geisinger’s analytics partner for the BPCI initiative. “The participating hospitals recognize that analytics — both the tools and the insights — will be critical drivers of program success,” Steinberg said. “We at xG have developed a successful approach to data analysis and reporting for all 48 BPCI bundles, working in partnership with our clients to provide actionable insights across the care continuum, in order to lower costs while materially improving the quality of care delivered.”

About xG Health Solutions xG Health Solutions’ mission is to help health systems and others committed to high-quality, value-based care succeed under risk-based payment arrangements. Our volume-to-value roadmap, care design and delivery, population health analytics, and financial optimization services are powered by Geisinger Health System’s methods proven to achieve best-in-class outcomes. xG Health is the primary provider of Geisinger’s Healthcare Performance Improvement Intellectual Property. xG Health also provides experienced professionals to partner in developing and implementing strategies focused on improving quality and reducing cost of care over the long haul. For more information, visit xGHealth.com, or follow the latest xG Health news and more on LinkedIn or Twitter.

About Geisinger Health System Geisinger is an integrated health services organization that has been widely recognized for innovatively using the electronic health record and developing and implementing innovative care models, including ProvenHealth Navigator (an advanced medical home model) and its ProvenCare program. Geisinger Health Plan, the insurance affiliate of Geisinger Health System, serves members in Pennsylvania, Maine, New Jersey, and West Virginia. The plan consistently ranks among the top-ranked health plans in Pennsylvania and the nation, according to the National Committee for Quality Assurance’s (NCQA) annual Private and Medicare Health Insurance Plan Rankings. For more information, visit Geisinger.org and TheHealthPlan.com.

Rocky Edmondson RN, BSN, MBA, CCRN
Senior Director, Bundled Payments, Care Redesign and Management Advisors, xG Health Solutions

Rocky Edmondson is the Senior Director of Bundled Payments for Care Redesign and Management Advisors at xG Health Solutions. Rocky has been involved in workflow redesign, program implementation, and analytic evaluation of Bundled Payment Programs across the country, and he coaches Hospitals, Health Systems, Post-Acute Providers, and Physician Groups on how to successfully implement care redesign in the Bundled Payment for Care Improvement (BPCI) and CJR Programs.

Rocky’s passion is helping people to understand the intricacies of Bundled Payment Programs. He has a talent for teaching people how to cut through all the noise and just do the things that matter to be successful in these programs.

Rocky holds an Associate’s Degree in Nursing from the University of Hawaii Maui, and a Bachelor’s Degree in Nursing and a Master’s Degree in Business Administration (MBA) from Boise State University.

Prior to joining xG Health Solutions, Rocky was the Southeast Region Director of Clinical Operations for Remedy Partners, overseeing program design, implementation and analytic evaluations for Bundled Payment Programs. Prior to embarking on a career in Bundled Payments, Rocky was a Registered Nurse for 18 years, working in a number of positions within Critical Care. Before becoming a Nurse, Rocky was an Institutional Broker at Merrill Lynch and advised a number of healthcare systems and large corporations on cash management strategies. In addition, Rocky has started several businesses and provided consulting for small business startups. Rocky served in the U.S. Marine Corps as a Recon Marine.

Janet Comrey RN, BSN, MHSA
Director, Population Health Solutions, Geisinger Health System

Janet Comrey, RN, BSN, MHSA has over 30 years of diversified nursing and leadership experience at Geisinger Health system and currently serves as Director of a small department embedded within Population Health. One of her key roles is managing the Bundle Payment for Care Improvement (BPCI) program since January 2014 earning an overall positive net payment reconciliation to date. Janet also serves as the coordinator for Project Achieve at Geisinger which is a national PCORI funded study related to patient’s perceptions of transitions of care.

Janet received her nursing education through Geisinger’s diploma program, her BSN through Bloomsburg University, and later earned her graduate degree from Marywood University. During her tenure at Geisinger she taught quality improvement methodology and facilitated improvement teams the Geisinger Quality Institute. She is currently enrolled in the Institute for Healthcare Improvement Advisory program.

Professional memberships include Sigma Theta Tau, Phi Kappa Phi, American Society for Quality.

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

fuvb ekfhve v

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.