CMS

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.

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.