Reimagining care delivery

Episodes of care success strategies

  • May 2021

    In recent literature published by the Commonwealth Fund and Agency for Healthcare Quality and Research evidence of bundled payment models’ have shown potential to reduce spending growth and utilization of services in the bundles. CMMI is also remaining strongly committed to move forward with testing bundled payments.

    Join 3M for a complimentary webinar to learn:

    • Details about what goes into a bundle and common bundled services
    • Types of bundled payments strategies
    • The importance of risk adjustment in bundled payments
    • How bundled payments can improve patient coordination

    Lower costs, improve care coordination and better quality.

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Get to know our presenters:

  • Rick Kresinske

    Rick Kresinske is a client engagement and strategy executive at 3M Health Information Systems, with a primary focus on assisting health plans and government agencies in designing and operationalizing their value-based payment (VBP) and population health management programs. Prior to joining 3M, Rick was most recently the Chief Financial Officer for Anthem’s New York City-based Medicaid Health Plan, Empire BlueCross BlueShield HealthPlus, where he developed and oversaw VBP programs ranging from pay-for-performance to fully capitated, delegated risk. Leveraging his background, Rick helps his clients to structure their VBP programs to align incentives between payer and provider in order to improve outcomes across the continuum of care. In addition to VBP and population health management, Rick also possesses in-depth knowledge in health plan market strategy and operations, medical economics and program design and management.

  • Becky Pelov

    Becky Pelov, a consultant with 3M Health Information Systems since 2015, has an array of experience in implementing services and solutions for payers in both the commercial and Medicaid sectors in response to the constantly evolving health care system. Becky has been the consultant for Medicaid payers in New York State. This experience has allowed her to develop a deep understanding of the State’s Medicaid reimbursement methodology and 3M™ Clinical Risk Groups (3M CRGs). Becky’s knowledge of the 3M CRG methodology has given her a unique perspective on risk score optimization and she has provided several trainings on this topic. In addition to her New York Medicaid Managed Care experience, Becky has experience in leading the implementation and ongoing support of strategic initiatives, which has led to improved population health outcomes. She also supports all programs to ensure achievement and identity opportunities to meet shared goals.