So you applied to BPCI Advanced. What’s next?

The next steps in BPCI Advanced include:

  • Analyze your opportunity in the program

  • Begin program design and stakeholder engagement

  • Review your data and target prices from CMS

  • Finalize participation decision and contracts

Every step of the way, Archway is here to help.


BPCI Advanced in Action

Susan Nelson of Connecticut Neck & Back Specialists, one of our BPCI Advanced partners, shares her experience in the program, what it has done for her practice, and what it’s like to work with Archway.


Program Details

BPCI Advanced is the next generation of the original Bundled Payments for Care Improvement (BPCI) initiative created by Medicare, and a further progression of the value-based healthcare movement. BPCI Advanced qualifies as an Advanced Alternative Payment Model (Advanced APM) under the MACRA Quality Payment Program. The application window for the second, and last, BPCI Advanced cohort closed June 24, 2019. The second cohort will begin the Model Year 3 program on January 1, 2020.

BPCI Advanced, like other bundled payment programs, rewards clinicians for improving outcomes and lowering costs. Providers are given an all-inclusive bundle price to cover the inpatient and post-acute care costs during an episode of care. With control of the entire episode, providers have the opportunity to earn additional revenue by improving care management to reduce post-acute costs and readmissions.

Current program characteristics include:

  • Voluntary Model

  • A single retrospective bundled payment and one risk track, with a 90-day Clinical Episode duration

  • 33 Inpatient Clinical Episodes

  • 4 Outpatient Clinical Episodes

  • Qualifies as an Advanced APM

  • Payment is tied to performance on quality measures

  • Preliminary Target Prices provided in advance of the first Performance Period of each Model Year

Read our thoughts about BPCI Advanced on our blog. 

Selecting a BPCI Advanced Partner

Selecting the right partner to help manage BPCI Advanced is key to success. That’s why we’re glad to offer a list of considerations to help you make an informed decision.


Learn more about BPCI Advanced through our Webinar Series

Archway's Succeeding in BPCI Advanced webinar series reviews program basics including bundle definitions and target pricing. We also review updates to the program including new bundles and quality metrics, early results from Cohort 1, and strategies for success.