BPCIA is designed to support providers who invest in practice innovation and care redesign to improve coordination, delivery and quality of care. As of Model Year 6 (January 2023 – December 2023), the program includes eight clinical episode service line groups consisting of 29 inpatient clinical episode types, three outpatient clinical episode types and 2 multi-setting clinical episode types.


The model performance period will run through Dec. 31, 2025.

How we can help

Reach your goals and thrive in BPCIA. DataGen’s analyses will help you provide high quality, high value care by allowing you to:

  • analyze episode targets in real time without having to wait for CMS reconciliation;
  • understand key metrics across your episode service line groups;
  • identify patterns in your episode spend by reviewing you payment trends over time by episode service line group; and
  • measure your first post-acute care usage to identify targets to reduce episode spending.

We offer

  • Opportunity Analysis for Bundled Payments

    Providers need a deep understanding of their population before considering participation in an alternative payment model or alignment with providers who have at-risk arrangements. DataGen simulates episodes of care for every healthcare provider in the country to help them understand volume, expenditures and utilization in an episode framework for BPCIA and CJR programs.

  • Baseline Episode Selection for Bundled Payments for Care Improvement Advanced

    We work with providers across the country as they consider participation in the BPCI Advanced and original models. With DataGen’s baseline analysis and consultation, episode initiators can better understand their strengths and opportunities for improvement when evaluating which bundles are the best fit.

  • Performance Period Monitoring for Alternate Payment Model

    We work with providers across the country participating in alternative payment models. DataGen provides key insight and consultation to help hospitals, health systems, post-acute and other healthcare providers evaluate new programs and monitor how effectively their strategies are working to ensure financial stability and high quality care.

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