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.
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.
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?
In helping providers navigate, manage risk and improve clinical processes in BPCI Advanced, we’ve identified commonalities among the providers that have shown strong early results. For those looking to join the program in Cohort 2, these attributes can serve as a guide or checklist providers can use to prepare for the program.
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.