Providing specialists with the data and means to efficiently and successfully engage in value-based care initiatives, evening the paying field with payers, facilities, and primary care providers
HubpointMD is a set of technology-driven business solutions that use claims data analytics, predictive modeling, episode grouper logic, and SaaS-based technology to drive innovation in healthcare delivery and payment reform for specialist physicians and practices. Each solution is designed to address specific needs or gaps for specialists to outpace regulatory and quality performance reform. Let us show you how you can benefit from each solution individually or gain a greater advantage by linking several solutions together.
Providing specialists with the data and means to efficiently and successfully engage in value-based care initiatives, evening the paying field with payers, facilities, and primary care providers
HubpointMD is a set of technology-driven business solutions that use claims data analytics, predictive modeling, episode grouper logic, and SaaS-based technology to drive innovation in healthcare delivery and payment reform for specialist physicians and practices. Each solution is designed to address specific needs or gaps for specialists to outpace regulatory and quality performance reform. Let us show you how you can benefit from each solution individually or gain a greater advantage by linking several solutions together.
What are the HubpointMD solutions?
HubpointMD is a modular set of interrelated business solutions built upon a technology-enabled foundation, provides specialists with value-add solutions for effective engagement in value-based care initiatives and achievement of programmatic goals.
Business solutions include:
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HubpointMD:MVP – MIPS Value Pathways
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HubpointMD:MI - Market Intelligence
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HubpointMD:WL – WiseLink
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HubpointMD:EoC - Episodes of Care
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HubpointMD:Adv - Advisory
MIPS Value Pathways (MVP)
HubpointMD:MVP
A solution to provide strategic direction and data analysis for specialist physician practices seeking to participate in the Medicare Incentive Payment System Value Pathways (MVP), part of the CMS Quality Payment Program (QPP). This data-driven approach assesses partner workflows and claims submissions to provide recommendations for MIPS or MVP participation strategy as an individual, group, subgroup, or APM entity (if applicable) to maximize opportunity to acquire quality incentives.
The reporting evolution is underway, do not be left behind the 8-ball, let us help you get in front of the pack.
Specialists will find themselves either reporting traditional MIPS or MVP in most cases. As the reporting requirements evolve aspects of the Patient Experience Management (EM3) will become increasingly important for specialists to perform and report (see below for additional details). Our HubpointMD:MVP solution is tailored to assist specialist practices with determining which measure to report and the optimum pathway to achieve the best overall outcome. HubpointMD:MVP can be used alone or in combination with other HubpointMD solutions.
Quality Payment Program (QPP) incentives are split between MIPS/MVP and APM reporting
The time to consider preparing or reporting under MVP is now, as MVP is destined to become a mandatory quality reporting vehicle
For those not participating in an APM, the default quality reporting with be either traditional MIPS or the newer MVP. MIPS and MVP both fit into Category 2 where fee-for-service payments are linked to quality and value (see graphics). The transition from traditional MIPS to MVP is intended to ease the reporting burden on clinicians and groups. Despite this goal, programmatic reporting choices and complexities remain.
QPP is evolving from traditional MIPS to the newer MVP model for providers not involved in an Alternate Payment Model (APM)
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The transition is already underway. At some time after 2026 traditional MIPS will be sunset and MVP reporting will be mandatory. Many specialist practices are unaware of the transition and the nuances of the MVP requirements.
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CMS anticipates that 80% of specialties will have MVP reporting capabilities in the 2025 performance period.
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Specialists can choose measures that are most relevant to their clinical practice.
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Beginning in 2026, multispecialty groups will not be able to report measure as a group
HubpointMD:MI
Market Intelligence
A solution to navigate the ongoing healthcare expedition and provide specialist physician practices with the data and insights necessary to stay ahead of the game. The journey through value-based healthcare transformation is an expedition. Navigating the road to success requires strategic intelligence and a map
Tools:
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Benchmarking - Gathering data, analysis, interpretation, and development of insights that drive actions
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Analyzing data to understand the customers, trends, behaviors within a market
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Insights to strengthening your brand
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Actions designed to stay competitive and meet market demands
Results:
We believe providing actionable insights garnered from careful analysis of complex data sets can be the technological edge to lead specialist physicians and practices towards a successful future in the changing world of healthcare delivery and payment models. Our intel, insights, and recommended actions fill a niche for specialist physicians who lack data on cost and quality, and direction on how to compete in value-based care initiatives.
WiseLink is data-driven tool and accompanying workflow that enables provider networks to refer patients to the highest value and highest quality providers within their network. WiseLink incorporates performance, quality, clinical, patient satisfaction, claims, and cost data to equip referring providers with the necessary information to refer patients to the appropriate provider for their specific medical needs. By incorporating patients’ insurance coverage data, WiseLink ensures that patients are directed to in-network providers that are close to home and have the necessary capabilities and services to best serve the patient at the lowest cost.
HubpointMD:WL
WiseLink
A solution to evaluate and construct various types of procedural and conditional episodes of care. Episodes can be part of CMS/CMMI operated initiatives such as the Bundle Payments for Care Improvement Advanced (BPCI-A) model, ACOs (in the form of nested bundles), direct-to-employer models, or payers. Episode of Care modeling includes contract terms and revenue
HubpointMD:EoC
Episodes of Care
Our processes are driven by episode grouper logic expected to be the industry standard. The grouper logic can create episodes of care for many specialties. Our solution provides actionable data-driven insights for specialists, establishing a clear path to developing and supporting value-based pay-for-performance opportunities. Let us show you haw you can succeed.
A pathway to Episode of Care success
Our team of healthcare administration and data technology veterans has a proven track record of delivering clinical and financial success in evolving value-based care delivery models. We partner with our clients to broadly build better, more flexible solutions that adapt to the changing healthcare environment.
A service that puts specialty practices on a level playing ground during payer negotiations using relevant transparent data
HubpointMD:Adv
Advisory
BridgepointMD’s payer contracting solution provides data analytics and advisory services for specialty practices engaged in payer contracting negotiations. Data asymmetry in payer contracting negotiations often lead to one-sided conversations. BridgepointMD prepares organizations to succeed in payer negotiations by providing the relevant data, talking points, and contracting frameworks to achieved improved terms and opportunities to participate in fee-for-performance models.
HubpointMD is a modular set of interrelated business solutions built upon a technology-enabled foundation, provides specialists with value-add solutions for effective engagement in value-based care initiatives and achievement of programmatic goals.
Business solutions include:
-
HubpointMD:MVP – MIPS Value Pathways
-
HubpointMD:MI - Market Intelligence
-
HubpointMD:WL – WiseLink
-
HubpointMD:EoC - Episodes of Care
-
HubpointMD:Adv - Advisory
What are the HubpointMD solutions?
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Physician-Driven Episode Costs
Total clinical episode costs are reduced from the historic norm following action items to minimize costs associated with readmissions, DVTs, UTIs, GI hemorrhage, surgical site infection, sepsis, etc.
02
Inpatient Rehab Facility Utilization
Episodic post-acute care costs are influenced by utilization of services. When service utilization is managed by the primary episode physician in a patient-centered manner, utilization rates and their associated costs can be reduced.
Performance improvements - a realistic goal with proven results
03
Skilled Nursing Facility Utilization
SNF utilization and length of service has historically been a significant driver of elevated episodic costs. Similar issue exist with other service types. Management of service utilization in a patient-centered manner will result in episode cost reduction. Corresponding reduction in length of service, when services are required for appropriate care, will also produce a lower cost profile.
04
Surgical Site Infection Rate
Complications also represent a significant source of performance deficit and increased costs. Following a clear action plan can reduce the incidence of complications can reduce associated costs.