ICYMI: Notes from the field for May 2019

DATE: June 3, 2019

At DataGen, the month of May has been all about prepping for Model Year 3 of the Bundled Payments for Care Improvement Advanced program. But that doesn’t mean the rest of the healthcare industry is taking a breath. Here’s what caught our eyes in the news in May. Where was your attention focused on last month?


BPCI Advanced

  • While bundled payments can generate savings without adversely affecting patient outcomes, BPCI-A requires a significant increase in the scope of responsibility for providers. Here are three key steps for success in this new bundled payment program.
  • The Association of American Medical Colleges recently hosted a webinar that looked into the BPCI-A episode selection process and featured several interesting and informative points.
  • CMS has made several resources available to help applicants and participants, including a participant portal and BPCI Advanced quality measures fact sheets — be sure to review these if you’re applying.
  • Thriving in a bundled program, whether mandatory or voluntary, requires the right sort of preparation and a strong strategy. Here are four key areas to focus on to achieve positive results.
  • The upcoming Bundled Payment Summit should be a great opportunity to learn more about how to succeed in their programs — and DataGen is attending. If you’re attending and want to connect, let us know.

Minimizing roadblocks

Expanding VBC and its impact

  • As we discussed last month, value-based care may be at the tipping point, a point validated at the 16th annual World Health Care Congress. There, industry leaders offered perspectives on the value-based care progress that has been made, while acknowledging that there’s still a lot of work to be done.
  • Accountable Care Organizations continue to provide solid opportunities for taking on risk, but leaders want more guidance and direction on the future from CMS. The nation’s largest association of ACOs is asking CMS for a more public process of developing future value-based payment models and updating existing models, which may help fuel more efficient development and growth of ACOs.
  • Focusing on Medicare spending per beneficiary can lead to real savings in the Value-Based Purchasing and bundled payments programs. Does your hospital have a strategy in place to measure MSPB?  See our blog on this timely topic.
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