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Six things to know about CMS’ new bundled payment model

By: Tracey Walker

DataGen was recently featured in an article from Managed Healthcare Executive.


CMS has set in motion a voluntary episode bundled payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced), that will test a new iteration of bundled payments for 32 clinical episodes and aim to align incentives among participating providers for reducing expenditures and improving quality of care for Medicare beneficiaries.

The model will qualify providers for additional incentives under the 2015 Medicare Access and CHIP Reauthorization Act (MACRA).

“At its core, BPCI Advanced strives to coordinate providers across the continuum to reduce costs and improve quality of care for Medicare beneficiaries,” says Clay Richards, president & CEO of naviHealth, one of the first companies to engage with the current BPCI initiative.

“CMS made clear in its announcement that it will continue its goal of tying payment to performance and focus on the quality of care rather than quantity of services furnished,” Richards says.

“BPCI Advanced …. will allow participating providers to take steps toward value-based care,” says Darcie Hurteau, senior director of informatics, DataGen, a healthcare data analytics and policy firm.

There are six things experts want you to know about BPCI Advanced:


To read more from this story, please visit  Managed Healthcare Executive.