News & Events

CMS Announces New Voluntary Bundled Payment Model that Qualifies as Advanced APM

By: Rajiv Leventhal

DataGen was recently featured in an article from Healthcare Informatics.

Stakeholders are reacting positively to the launch of a voluntary model that is this administration’s first Advanced APM

The Centers for Medicare & Medicaid Services (CMS) yesterday announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced).

The model will qualify as an Advanced Alternative Payment Model (Advanced APM) under MACRA’s Quality Payment Program; under the Advanced APM track in MACRA, providers take on financial risk to earn the Advanced APM incentive payment. “CMS is proud to announce this administration’s first Advanced APM,” CMS Administrator Seema Verma said in a statement. “BPCI Advanced builds on the earlier success of bundled payment models and is an important step in the move away from fee-for-service and towards paying for value. Under this model, providers will have an incentive to deliver efficient, high-quality care.”

Indeed, CMS officials said that under this bundled payment model, participants can earn additional payment if all expenditures for a beneficiary’s episode of care are under a spending target that factors in quality. They noted that bundled payments “create incentives for providers and practitioners to work together to coordinate care and engage in continuous improvement to keep spending under a target amount.”

To read more from this story, please visit Healthcare Informatics.