BPCI Advanced—the Next Generation of Bundled Payments—Announced by CMS

Published Wednesday, January 10, 2018

 

CMS has officially announced Bundled Payment for Care Improvement (BPCI) Advanced, a new voluntary bundled-payment model that will be considered an advanced alternative payment model under MACRA. You can learn more at: 

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-01-09.html

The long-awaited “BPCI Advanced” has the following features:

  • It includes 32 clinical-care episodes that providers can choose from, 29 of which are in the inpatient setting and three in the outpatient setting.
  • The first cohort will begin Oct. 1. The model performance period will run through Dec. 31, 2023.
  • Under the model, clinician payment will be based on quality performance during a 90-day episode of care. Participants must select at least one of the 32 clinical episodes to apply to the model. Some of the clinical episodes are major joint replacement, percutaneous coronary intervention provided in both the inpatient and outpatient settings, and spinal fusion.
  • Because it's an advanced APM, providers will be eligible for bonuses under MACRA based on their performance.
  • Seven quality measures have been selected for the BPCI-Advanced Model, including the all-cause hospital readmission measure and advance care plan measure.

The CMS Innovation Center will hold a Q&A Open Forum on Tuesday, January 30, 2018 from 12 pm – 1 pm EDT. This event is open to those who are interested in learning more about the model and how to apply. Please register in advance here - https://preaward.adobeconnect.com/e3cdwg6hgx9f/event/registration.html

MedAxiom and Archway are hosting a BPCI Advanced Webinar, specific to cardiology, on Monday, January 15, 2018.

MedAxiom/Archway Webinar on BPCI Advanced

Preparing for BPCI Advanced
January 15, 2018
1:00 pm – 2 pm EST

Speakers:
Keely Macmillan, General Manager, BPCI Advanced, Archway Health
Joel Sauer, MBA, Vice President, MedAxiom Consulting

REGISTER NOW

With the CMS announcement about the new Bundled Payment Care Improvement (BPCI) Advanced, MedAxiom Consulting and Archway Health are hosting a BPCI Advanced webinar to help the CV community prepare. While this new program is voluntary, we believe that bundled payments are here to stay, and those who want to succeed in value-based care will jump on this opportunity to learn about the essentials of BPCI Advanced. We will review all the changes to the program, discuss the applications for it and make recommendations for participants to enhance their readiness. This webinar will be an important first step in learning the details about BPCI Advanced and how your organization can benefit from it. There will be time for a Q&A session at the end, so come prepared with your questions.

 

Open enrollment for BPCI Advanced begins on Thursday, January 11, 2018. 

There is no time to waste in applying and preparing for BPCI Advanced. 

 

 

Downloadable Resources:

BPCI Advanced Timeline

BPCI Advanced Data Attestation

CMS BPCi Advanced Full Description

BPCI Advanced Application