Build, Buy, or Both: Tips for Directly Contracting with CMS in BPCI Advanced

Build, Buy, or Both: Tips for Directly Contracting with CMS in BPCI Advanced

With the next and final enrollment opportunity to join the voluntary BPCI Advanced program to open soon, healthcare organizations must consider not only if they will participate, but also how they will participate. More health systems and physician practices joined the first cohort of BPCI Advanced as episode initiators, and directly contracted with CMS rather than going through a convener.

Why Apply to BPCI Advanced Cohort 2?

Why Apply to BPCI Advanced Cohort 2?

The CMS announcement of a second enrollment window this April for the BPCI Advanced program brings a new opportunity, and last chance, for providers to participate in the program and get ahead of payment reform. For providers considering joining, the important first step to take toward BPCI Advanced is to secure the option to participate. The non-binding application process allows providers to acknowledge their interest, receive valuable CMS data, and evaluate the potential for success.  

So, why submit a non-binding application to Cohort 2?

Early Lessons in BPCI Advanced: 5 Takeaways from the March 1 Withdrawal Deadline

Early Lessons in BPCI Advanced: 5 Takeaways from the March 1 Withdrawal Deadline

On March 1, providers participating in BPCI Advanced had the option of dropping bundles or dropping out of the program entirely. The Centers for Medicare & Medicaid Services (CMS) provided this option to the more than 1,500 providers that began the program in October 2018, creating an effective “trial period” in this voluntary model. 

Now, more than 1,200 providers remain in the program. Additionally, CMS announced that it will open a new window for a second cohort of providers to join at the beginning of 2020. After six months of early results, there are some observations and lessons we’ve gathered that should be useful to new providers considering the program.