CMS

CMS Brings Much-Needed Changes to Rules on TAVRs and Cardiac Rehab in BPCI Advanced

CMS Brings Much-Needed Changes to Rules on TAVRs and Cardiac Rehab in BPCI Advanced

For BPCI Advanced Model Year 3, some recently announced program updates will bring more incentives and value to all participants – particularly cardiologists.  These changes reward cardiology providers for making the best decisions for patients. We commend CMS for better aligning financial incentives with improved care, and we are proud to have advocated to CMS for both of these changes.

CMS Enhanced ACO Announcement

CMS Enhanced ACO Announcement

Beginning with the start of Model Year 3 on January 1, 2020, when providers in Enhanced ACOs treat patients in a BPCI Advanced bundle, the BPCI-A bundle patient will be attributed to the owner of the bundle and not the ACO. This is an amendment to earlier CMS policy, which attributed these patients to the Track 3 ACO. NextGen ACOs will still take precedence over the BPCI-A program.

Voluntary Alternative Payment Models: The Risk of Sitting Out and Falling Behind

Voluntary Alternative Payment Models: The Risk of Sitting Out and Falling Behind

Momentum toward a future dominated by value-based payment programs continues with CMS regularly launching new alternative payment models, with a greater emphasis on two-sided risk. Given that value-based payment methodology often includes peer comparisons, those who wait to be dragged along will find themselves at a disadvantage when the voluntary option is replaced by mandatory participation.

Advice for Bundled Payments: Dave Terry on The Shifting Risk Landscape

Advice for Bundled Payments: Dave Terry on The Shifting Risk Landscape

For the inaugural edition of our “Advice for Bundled Payments” blog series, we sat down with our CEO and Co-founder, Dave Terry. Dave has spent more than 20 years in healthcare, developing skills and a passion for helping change the way physician groups and health systems manage care and risk through payment reform. We asked Dave about his thoughts on the healthcare industry as a whole and how bundled payments fit into its future.