Our CMS Experience
Medicare has led the way in developing new bundled payment models, spurring innovation across the healthcare market. Four programs have been developed to date, each with different clinical goals, provider participants and design elements. The Archway team has been deeply involved in all of these programs since the initial Bundled Payment for Care Improvement (BPCI) Program debuted in 2011.
The newest CMS program, currently known as BPCI Advanced, is a continuation of the original BPCI initiative that now rewards specialty providers for improving outcomes and lowering costs. Archway has always taken a leadership role in providing support to specialist practices. In fact, specialists who participated with Archway Health in the original BPCI program have earned more revenue (as much as $3,000 extra revenue per case) and provided better care to their patients.
BPCI Advanced Opportunity
To help specialists determine how they might participate more effectively in the BPCI Advanced program, we have created a Bundled Payment Scorecard which uses our assessment analytics to evaluate a practice's historical CMS data to help guide program participation decisions.
BPCI Advanced for Specialist Providers
BCPI Advanced is a continuation of the original Bundled Payments for Care Improvement (BPCI) initiative created by CMS. It is a provider-driven two-sided risk structure that qualifies as an Advanced Alternative Payment Model (APM) within MACRA (Medicare Access and CHIP re-authorization Act) legislation.
Bundled Payment for Care Improvement (BPCI) Program
The original Bundled Payment for Care Improvement (BPCI) initiative was created by CMS and launched in 2011. This is a voluntary Program with over 1,200 provider organizations including hospitals, physician practices and post-acute providers.
Oncology Care Model Program for Oncology Care Specialists (OCM)
The CMS Oncology Care Model (OCM) is a voluntary bundled payment model developed by CMS specifically for oncology practices. The model offers incentives for practices to increase care coordination, lower costs, and improve outcomes.
CJR Program for Orthopedic Specialists
The Medicare Comprehensive Care for Joint Replacement Model (CJR) program holds hospitals accountable for the cost and quality of care they deliver to Medicare beneficiaries for hip and knee replacements from surgery through recovery.
EPM Program for Cardiovascular Specialists
EPM was focused on cardiac bundles. CMS cancelled the mandatory Episode Payment Model (EPM) in August of 2017 to enable themselves to focus on voluntary bundled payment programs rather than mandatory initiative.