Payers and providers are engaging in activities to determine the best way to bring this “episode of care”model to market. Based on these activities, we have highlighted four key national trends you will see in the bundled payment commercial market in 2019.
Over the past few months, we’ve examined the timeline for building your BPCI Advanced program and reviewed what to do with the claims data released by CMS in May 2018. Now that you’ve received your data, it is time to further evaluate the opportunity to succeed under the BPCI Advanced program.
Organizations that applied for the CMS Bundled Payments for Care Improvement (BPCI) Advanced model are eagerly awaiting data from CMS. What will they do with it once it arrives?
For those acute care hospitals and physician group practices that submitted applications, there are three key areas to focus efforts in the coming months to prepare for BPCI Advanced: Analyze, Prioritize and Operationalize.
With good reason, the Centers for Medicare & Medicaid Services (CMS) has signaled a move toward holding providers accountable for 90-day readmission rates as opposed to 30 days that have been the focus since the Hospital Readmission Reduction Program (HRRP) was first announced in 2010.
CMS has proposed cutting back on mandatory bundled payment models. Why not improve them instead?
With bundle episode lengths increasing and the list of clinical episodes growing, population health management will continue to align with the implementation of bundled payments.
The first year of the CMS-mandated Comprehensive Care for Joint Replacement (CJR) model is over. In just a few weeks, CMS will release CJR files to the approximately 800 acute care hospitals included as CJR participants.
Organizations subject to CJR can learn how to submit requests for reconsideration and get paid, with the help of our reconciliation roadmap infographic.
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