CMS on Tuesday unveiled plans for an expanded bundled payment model that calls for participants to take on risk in both inpatient and outpatient settings, and that will qualify providers for additional incentives under the 2015 Medicare Access and CHIP Reauthorization Act (MACRA).
The model, the Bundled Payments for Care Improvement (BPCI) Advanced, is the next generation of the BPCI models already operating around the country; as of October 2017, CMS reported that BPCI Model 2 had 514 participants in phase 2. Under this new step, the 32 clinical episodes include 3 outpatient episodes, in addition to inpatient episodes, which appear to largely track those previously offered through the Center for Medicare and Medicaid Innovation.
“We’re very happy that it’s finally here,” Darcie Hurteau, MBA, director of Informatics for DataGen, said in an interview with The American Journal of Managed Care®. The majority of the episodes overlap with those “defined in the original program,” she said, although she wants to see details before assuming they will be based on the same data.