Blog

Two hospitals recently reached out to the DataGen/Singletrack Analytics team regarding their strategies for success under the Medicare Bundled Payment for Care Improvement (BPCI) initiative.  These conversations revealed a contrast in decision points between the two hospitals, both of which are participating in the “Major Joint Replacement” episode family.  Because of the differences in their […]

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Considerable discussion has taken place during the Centers for Medicare and Medicaid Services (CMS) resource calls about which process to use when computing episode payment rates for low-volume Diagnosis Related Groups (DRGs).  This is an issue because Bundled Payment for Care Improvement (BPCI) applicants are required to participate for all DRG severity levels within a […]

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The Centers for Medicare and Medicaid Services’ (CMS) responses to applications for the Bundled Payment Care Improvement (BPCI) demonstration program have raised more questions than they answered.  While we understand the government’s need to reign in the myriad bundle definitions, the degree to which CMS has gone from “define your own” to non-negotiable specifics raises some […]

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