Last Chance for BPCI Advanced

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 Centers for Medicare & Medicaid Services has announced that the application window for the second, and last, BPCI Advanced cohort is now open and will close June 24, 2019. The second cohort will begin the Model Year 3 program on January 1, 2020.

CMS has also added four new inpatient bundles:

  • Bariatric Surgery

  • Inflammatory Bowel Disease

  • Seizures

  • Transcatheter Aortic Valve Replacement (TAVR) (read how we we have been advocating for TAVR)

Prepare for the next round and read our thoughts about BPCI Advanced on our blog. 


Program Details

BPCI Advanced, like other bundled payment programs, rewards clinicians for improving outcomes and lowering costs. Providers will be 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

Contact us to learn more about BPCI Advanced.


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 will review program basics including bundle definitions, target pricing and the application timeline for Cohort 2. We'll also review updates to the program including new bundles and quality metrics, early results from Cohort 1, and strategies for success. 

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considering applying to bpci advanced?

The next step is analyzing your data and discovering your opportunity.