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Todd Johnson

Q&A with Todd Johnson, CEO of HealthLoop

HealthCare Business News spoke to HealthLoop CEO, Todd Johnson, to get a better understanding of his company's patient engagement platform — which aims at helping providers improve episodic and post-acute care — and what it means for providers aiming to make the most out of bundled payments.

HCB News: CMS’s new Bundled Payments for Care Improvement Advanced (BPCI Advanced) program offers real rewards to providers who are able to improve outcomes. Can you tell us what BPCI Advanced is all about and how your company fits in?

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TJ: Sure. First, though, everyone needs to be aware that the timeline for enrolling in the program is extremely tight. The deadline to apply is March 12, 2018—and after that there won’t be another opportunity to enroll for two years. For those who have convictions about improving outcomes, you need to jump now. You can either go it alone or seek a partner convener, someone like naviHealth, to help you get there.

Second, a quick word about the BPCI program. These bundled payment programs are continuing because it has been proven that they work. These payment models incentivize providers with a greater margin wherever they improve patient outcomes and lower costs —meaning that both patients and providers win. Many providers who have been sitting on the sidelines have seen their peers making a lot of money via better care coordination, resulting in better patient outcomes. My belief is that those people on the sidelines have built up a good amount of pent-up demand, and they want to jump onboard with BPCI. And they should! It’s a great opportunity. Providers do need to be ready, though. From a patient care perspective, everyone should consider these programs because with the right amount of work you can improve care and financial performance. The only thing that would make me hesitate as a healthcare provider is if I lacked a good, healthy relationship with my market specialists—the physcians who needs to come to the table and be a good partner in this. If you have that partner and you’re ready to make modest investments in your care delivery redesign, you can thrive.

HCB News: What can providers expect in terms of rewards?

TJ: This variable depends on how smart the provider is with post acute care management, in my view. Today many providers are doing very little to reign in post acute care cost, which means it constitutes a very large area of opportunity. We’re talking about $5,000 per patient per case of new revenue, for example, with a higher-cost procedure like those in orthopedics, spine, or other high-acuity scheduled surgical interventions.
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