WASHINGTON -- Archway Health, MedAxiom, and the American College of Cardiology (ACC) today announced plans to offer a free BPCI Advanced Opportunity Assessment that would provide cardiovascular groups and health systems with an initial analysis of potential cost savings and areas for quality improvement and help prepare for the open window of Bundled Payments for Care Improvement (BPCI) Advanced Cohort 2, a program of the Centers for Medicare and Medicaid Services (CMS).
The BPCI Advanced Opportunity Assessment features provider and peer-benchmarked clinical and financial data using multiple sources and analytical tools, powered jointly by Archway, MedAxiom and the ACC. The off-site, timely analysis offers providers a view of their performance relative to peers on metrics including annual volume by MS-DRG, skilled nursing facility payment percentage, patient case mix, 90-day readmission rate, average episode payment, and outpatient ER rate, among other measures.
“MedAxiom and the ACC are excited to work with Archway Health in bringing together, for the first time, quality and payment data to help our respective members and clients prepare for and ultimately succeed in the transition from a volume to value-based environment,” said Timothy W. Attebery, DSc, MBA, FACHE, CEO of MedAxiom and the ACC. “As payment reform continues to evolve, ensuring that cardiovascular practices are prepared from a data perspective is key to guiding efforts toward clinical and operational excellence.”
BPCI Advanced, like other bundled payment programs, rewards clinicians for improving outcomes and lowering costs. Providers will be given an all-inclusive bundle price to cover the inpatient and post-acute care costs during an episode of care. With control of the entire episode, providers have an opportunity to earn additional revenue by improving care management to reduce post-acute costs and readmissions.
As the Center for Medicare and Medicaid Innovation pushes for 100% of providers to be in upside and downside risk arrangements by 2025, BPCI Advanced offers a unique voluntary chance at alternative payment models. The application window for the second, and last, BPCI Advanced cohort was announced by CMS on April 24, 2019, and will close on June 24, 2019.
“We are thrilled to collaborate with leaders in the cardiovascular industry, MedAxiom and the ACC, and are eager to assist members in identifying their true opportunity in BPCI Advanced and support them as they consider participating in the program,” said Dave Terry, CEO and Co-founder of Archway Health. “Through deep collaboration with many cardiologists in BPCI Advanced, we’ve seen the value that participating in the program can deliver to providers and patients alike.”
To learn more and request a BPCI Advanced Opportunity Assessment, submit the form on MedAxiom’s BPCI Advanced webpage.