CMS

CMS Enhanced ACO Announcement

CMS today announced a significant adjustment that will affect providers in Enhanced ACOs, formerly known as Shared Savings Program Track 3.

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.

This is an important development for providers who have not yet enrolled in BPCI Advanced because of their participation in an Enhanced ACO, particularly as the application period for BPCI-A Cohort 2 closes at midnight EST on Monday, June 24.

Providers who want to maximize their participation and performance in risk programs should be evaluating their opportunities both in ACOs and in bundled payment programs like BPCI Advanced. Providers who are interested in participating in BPCI Advanced should click here to fill out our application.

To learn more, contact Archway Health at 617-209-7985 or info@archwayha.com.

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.

BPCI Advanced Model Year 3: Key Takeaways

BPCI Advanced Model Year 3: Key Takeaways

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that the application window for Cohort 2 of BPCI Advanced (Model Year 3) is open through June 24, 2019. With this announcement comes a lot of information to digest. To help you navigate the program, we’ve pulled together our early takeaways: what we know, what we’re waiting for, and other points of interest.