If you didn’t apply to participate in the Bundled Payments for Care Improvement Advanced (BPCI) Advanced model earlier this year but are still interested in doing so, you don’t have too long to wait. The next application period for BPCI Advanced is scheduled to begin in Spring 2019, with the second cohort starting on January 1, 2020.
The first round of BPCI Advanced applications saw nearly 1,300 providers sign on to participate, including 832 acute care hospitals and 715 physician group practices. The new model runs from October 1, 2018 through December 31, 2023.
For those who participated in (or are familiar with) the original BPCI initiative, the new program offers additional features and incentives, such as:
- BPCI Advanced qualifies as an Advanced Alternative Payment Model (APM) under the Medicare Access and CHIP Reauthorization Act’s (MACRA’s) Quality Payment Program. Because participants take on additional financial risk, they can earn a five percent bonus.
- The Advanced model offers participants three outpatient care episodes – Percutaneous Coronary Intervention, Cardiac Defibrillator, and Back & Neck except Spinal Fusion. Meanwhile, inpatient episodes have been reduced to 29 (from the original 48), to better focus on those episodes that have demonstrated the greatest provider interest and potential for return.
The Centers for Medicare & Medicaid Services (CMS) will release additional details about the next application period soon. In the meantime, as with all bundled payment models, MedBen Analytics supports BPCI Advanced participants with actionable insights that turns data into decisions and profit potential. If you have any questions or are interested in viewing a demo of our current reporting platform, please contact Harden at 888-633-2364 or email kharden@medben.com.