A professional colleague recently commented that some of his clients were considering bypassing the Medicare Bundled Payments for Care Improvement (BPCI) program and were focusing on pursuing bundled payments with commercial payers. As we’ve previously written, we think that BPCI is one of the best advanced payment system options available, and it worthy of consideration by almost every hospital.
Today CMS released an unexpected Valentine’s Day surprise in the form of a new open enrollment period for additional participants to enter the Medicare Bundled Payment for Care Improvements (BPCI) program.
The Medicare Bundled Payment for Care Improvement (BPCI) program offers hospitals and post-acute providers the opportunity to work collaboratively to coordinate care occurring during and after an inpatient stay, and to retain most of the savings that may be generated as a result of the elimination of unnecessary provider services. The Centers for Medicare and Medicaid Services (CMS) is allowing providers that are already participating in this program to evaluate expanding their participation to additional episode families.
Once advantage of working with many clients is the diversity of situations that you get to see. So when we got a call that a client wanted to discuss the merits of the various selections of risk tracks under the Medicare BPCI bundled payment initiative, we gathered the team together for a conference call.
At the recent Becker’s Hospital Review Annual Meeting in Chicago, several presentations covered accountable care organizations, bundled payments and other new payment methodologies. Although not described specifically in these presentations, two different payment arrangements are emerging in which payers and providers are cooperating to reduce healthcare costs. This article compares and contrasts those payment methodologies.
At the recent Becker's Hospital Review Annual Meeting, Jon Pearce from Singletrack Analytics and Kelly Price from DataGen presented a session on "Leveraging Lessons Learned from Medicare's Bundled Payment Program".