CMS, Centers for Medicare & Medicaid Services, leads the insurance industry in policy guidelines and procedures that other commercial and private insurances are following. In particular, bundling items. Bundling is a method used to originally define services and procedures that are related directly to the patient’s primary condition. The Affordable Care Act made way for new payment methods that allow CMS to navigate away from fee-for-service. Deirdre Baggot PhD, specializes in bundle payments in the health care industry.
Deirdre Baggot PhD is well versed in the reform of healthcare payment and is highly respected. Gaining experience as a clinician who established bundled payments, she has directed consulting practices to focus on bundled payments and innovation and has produced over $5 million in revenue annually. She graduated from Southern Illinois University with Bachelor of Science in Nursing then attended Loyola University Graduate School of Business where she received Master of Business Administration degree. Continuing her education, she graduated from University of Colorado where she received her Doctorate of Philosophy. Visit vimeo.com to know more about Baggot
When CMS bundles certain items, the costs associated with the item go down and quality improves, saving CMS money in the long run, particularly in the post-acute care. The healthcare system is very complex which makes for vast challenges but multitudes of opportunity. Taking small manageable steps will allow insurance to develop innovative care models that will encourage physicians to follow.
Bundling post-acute services consists of trying to avoid re-admissions, mainly after major joint replacement, congestive heart failure, coronary artery bypass graft, chronic obstructive pulmonary disease, including bronchitis and asthma, and percutaneous coronary intervention. The care needed for a patient will include three days prior to an inpatient stay to up to 90 days.
The more expensive conditions, like cardiac and orthopedic procedures, are the perfect candidates for bundling. CMS has researched and has transitioned within the last several years to create a payment reform to use rather than fee-for-service.
When healthcare is the topic, it can really generate some opinions. Our healthcare system has changed dramatically over the years but there are people behind the scenes trying to make it better. Many ideas have been generated and then put into effect, attempting to tackle some of healthcare’s inefficiencies. One person who has made a real impact is Deirdre Baggot, PhD., MBA, BSN.
Who Is Deirdre Baggot?
I am glad you asked. Deirdre is renowned and respected among healthcare executives. She has committed herself to the healthcare industry and has been serving it for her entire career. Her work has become focused on the financials, and is known as a leader, a national expert, and an innovator. Her main contribution has been to reform healthcare and she has promoted bundled payments. As of 2012, it is estimated that one-third of the entire system used bundled payments, so her work has definitely made a difference. Follow Deirdre Baggot on Instagram
A Closer Look
Deirdre received her PhD. from University of Colorado, her MBA from the Quinlan School of Business at Loyola in Chicago, and her BSN from Southern Illinois University. She worked at Northwestern Hospital and then University of Michigan Health System, leading others and applying her vast clinical and business knowledge over a 10 year period. While in her clinical roles, she helped develop patient care protocols that are currently in place. She saw an opportunity to streamline that process and made it happen.
Her career moved forward and she teamed up with GE Healthcare Partners (Senior VP, Practice Leader) but now is a business consultant. Deirdre has managed teams and millions of dollars, and her innovative ideas have generated millions in revenue. In fact, she has over 20 articles published regarding healthcare reform with bundled payments. Deirdre Baggot led CMS’s “Bundled Payment Demo for Acute Care Episode“. As you can see, she is a dedicated leader and is able to provide expert level consulting with her high level of experience and knowledge. Deirdre loves to think up new ideas and see her ideas through to fruition, and she is paving the future of healthcare.
Read more: https://www.researchgate.net/scientific-contributions/29148566_Deirdre_Baggot
“Be willing to tell it like it is even if it means you don’t get the work”
In 1997 Dierdre Baggot started her career as a nurse at North Western Memorial Hospital. After six years she went on to become a business analyst and administrative manager for the University of Michigan Health Systems. Nine years after her start at North Western, Dierdre Baggot was now the Senior Administrator of the Cardiac and Vascular Institute. Following her stint at the Institute, she found herself now Senior Vice President of GE Healthcare Partners where she spent six years working on healthcare payment systems. Read more at worldcongress.com to learn more.
It is people like Diedre Baggot who continue to lead the effort and whose drive can be only be powered by the need to help those who are less fortunate. In this world there is no shortage of the needy and without people like Deirdre Baggot, we might be looking at this world in a black and white lens. She recently blogged about how “we have over 60,000 different diagnoses, more than 6000 drugs and more than 4000 surgical techniques and procedures that we are attempting to deploy.” This need to stay deeply involved and make her voice heard on the issues that matter is the type of leadership that we need in every sector, private and governmental.
Because of the overwhelming nature a fee-for-service has on not just the patient , but everyone else involved, the innovative birth of a bundle payment had to happen, not just in California, but in as many places that can be reached. With a bundled payment, for all of the care and services related to a specific clinical episode or condition, the patient can just make one single payment. Deirdre Baggot continues to push the envelope to find better costs and reimbursement portfolios.
In a world that’s always changing, it’s nice to have someone who refuses to change one thing. The willingness to never to compromise what she stands for in exchange for financial gain .