New Opportunities in New Bundled Payment for Care Improvement
On October 23, 2018 by Jodi Boyne
The Centers for Medicare & Medicaid Services (CMS) recently announced that close to 1,300 entities have signed up to participate in the Bundled Payment for Care Improvement Advanced (BPCI Advanced) Model on a voluntary basis. A new blog post from Health Dimensions Group (HDG) provides basic facts, a fresh perspective on what this means and what providers should do next.
In CMS Announces BPCI Advanced Participants: Opportunity to Participate, Brian Ellsworth, Vice President of Public Policy and Payment Transformation, Brian Ellsworth, HDG Vice President for Public Policy and Payment Transformation says:
- Participating hospitals and physician group practices will have a few short months to make a firm decision on whether to take full risk for a 15-month period and, if so, for which clinical episodes.
- Many clinical episodes, such as hip fractures, have a strong post-acute focus in the 90-day post-hospital discharge period.
- Participating entities often form preferred provider relationships to successfully manage under the bundle, but preferred networks will only take you so far. It is imperative for bundlers to develop and implement risk-sharing with post-acute care.
- Providers should now their value proposition and how to advance the relationship between bundlers and post-acute care to the next level of gainsharing that aligns payment and quality.