Heart of Health Policy | CMS Announces Start of BPCI Advanced Second Cohort Application Period

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The Centers for Medicare and Medicaid Services (CMS) on April 24 announced the second application period for Bundled Payments for Care Improvement (BPCI) Advanced, which qualifies as an Advanced Alternative Payment Model under the Quality Payment Program.

Participants selected for the second cohort will start Model Year 3, beginning on Jan. 1, 2020. It is anticipated that the CathPCI Registry, Chest Pain – MI Registry and the ICD Registry will be reporting options.

Organizations interested in applying to participate as a Non-Convener Participant, must be an Acute Care Hospital (ACH) or a Physician Group Practice (PGP) that could initiate clinical episodes under the Model.

A Convener Participant may be a non-Medicare provider or supplier, a Post-Acute Care provider, an Accountable Care Organization, ACH or PGP. Model Year 3 will include 33 voluntary inpatient episodes, including a new episode for TAVR, and four voluntary outpatient clinical episodes.

Under the program, participants can report the Administrative Quality Measures Set; claims-based measures; or the Alternate Quality Measures Set, a combination of claims-based and registry-based measures.

In addition, CMS is considering modifications to the model to provide BPCI Advanced participants with an incentive to increase the use of cardiac rehabilitation services. Additional information on the Model Year 3 measure sets and the cardiac rehabilitation incentive will be released in the coming weeks.

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Clinical Topics: Cardiac Surgery, Invasive Cardiovascular Angiography and Intervention

Keywords: ACC Publications, Cardiology Magazine, Health Policy, Accountable Care Organizations, Centers for Medicare and Medicaid Services (U.S.), Cardiac Rehabilitation, Inpatients, Outpatients, Subacute Care, Motivation, Transcatheter Aortic Valve Replacement, Medicare, Medicaid, Health Expenditures, Group Practice, Registries, Chest Pain, Cohort Studies


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