Bundled Payments for Care Improvement

Lower Clinical Spending Needed in BPCI-A Program to Avoid Losses

April 18, 2023 - Hospitals and physician groups participating in the Bundled Payments for Care Improvement Advanced (BPCI-A) program would have had to reduce clinical spending by 3.7 percent to 8.2 percent during the first four performance periods for CMS to break even, a study published in JAMA found. BPCI-A program participants select inpatient and outpatient...

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Bundled Payment Model Reduced Spending on Medical, Surgical Episodes

by Victoria Bailey

Participating in Medicare’s Bundled Payments for Care Improvement (BPCI) initiative was associated with cost savings for medical and surgical episodes, but savings varied among hospitals and...

Advanced Bundled Payment Model Reduced Payments for High-Risk Patients

by Victoria Bailey

Hospital participation in Medicare’s Bundled Payment for Care Improvement Advanced Model (BPCI-A) decreased Medicare payments and did not negatively impact health outcomes for high-risk patients,...

Advanced Bundled Payment Model Reduced Medicare Episode Payments

by Victoria Bailey

The CMS Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model reduced Medicare fee-for-service episode payments for both surgical and medical episodes, according to a new report for CMS...

For-Profit Hospitals Use Conveners for Bundled Payment Success

by Jacqueline LaPointe

The use of conveners for bundled payment success is more common among non-teaching and for-profit hospitals, and those that use conveners tend to select more episodes with higher target prices,...

Major Changes Coming to BPCI Advanced Clinical Episodes, Prices

by Jacqueline LaPointe

CMS is making major changes to Bundled Payments for Care Improvement (BPCI) Advanced next year to stop the model from generating financial losses of close to $2 billion over the model’s ten...

CMS Releases Initial Report on Risk-Based Bundled Payment Model

by Jacqueline LaPointe

Hospitals and physician group practices (PGPs) participating in the first two cohorts of the Bundled Payments for Care Improvement (BPCI) Advanced have a good chance of reducing episode payments....

Participation in Advanced Bundled Payments Model Falls 16%

by Jacqueline LaPointe

Provider participation in Medicare’s new advanced bundled payments model dropped by about 16 percent in the first five months, according to updated data from CMS. The federal agency recently...

GAO: Advantages of Voluntary and Mandatory Bundled Payments

by Jacqueline LaPointe

Voluntary and mandatory bundled payment models each have their own pros and cons. But providers like voluntary models because they offer more favorable financial terms, a new Government Accountability...

AHA Calls for Bundled Payments Delay, Reform for BPCI Advanced

by Jacqueline LaPointe

Though supportive of the Bundled Payments for Care Improvement Advanced (BPCI Advanced), the American Hospital Association (AHA) recently urged CMS to delay the model’s application deadline until...

Exploring the Bundled Payments for Care Improvement Advanced Model

by Jacqueline LaPointe

CMS recently unveiled the Bundled Payments for Care Improvement (BPCI) Advanced initiative, a new bundled payments model that will include inpatient and outpatient clinical episodes and qualify as an...

Voluntary Bundled Payments Launch, HHS Nominee Backs Mandatory APMs

by Jacqueline LaPointe

CMS announced a new voluntary bundled payments opportunity starting in late 2018 on the same day that HHS Secretary nominee Alex Azar seemingly backed mandatory alternative payment models during a...

Premier: Bundled Payment Models Should be Voluntary Nationwide

by Jacqueline LaPointe

Premier Healthcare Alliance recently offered CMS several recommendations for bundled payment model development, including making programs voluntary for providers across the nation. CMS has implemented...

Bundled Payments Model Cuts Joint Replacement Costs by $1,166

by Jacqueline LaPointe

Hospitals participating in the Bundled Payments for Care Improvement initiative decreased Medicare spending on lower extremity joint replacement hospitalizations by $1,166 per episode compared to...

CMS: Bundled Payments Model Will Decrease Medicare Spending

by Jacqueline LaPointe

The Bundled Payments for Care Improvement initiative has the potential to significantly reduce Medicare spending on 11 of 15 clinical episode groups that were analyzed in the program’s second...

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