CMS Issues Report on Bundled Payments of Care

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A new report released by the Centers for Medicare and Medicaid Services (CMS) evaluates the Bundled Payments for Care Improvement Advanced (BPCI Advanced) model, as well as Years 2-4 of the BPCI (Classic) Model.

Specifically, the report details the types of providers/organizations participating in the BPCI programs; the clinical episodes chosen by participants; target prices and reconciliations; and the reach of the programs.

Highlights include:

  • During the first six months of the model, approximately 22% of eligible hospitals participated in BPCI Advanced, compared with 13% of hospitals eligible for BPCI Advanced that participated in BPCI Classic. Across several key hospital categories, such as rural and safety net hospitals, participation was broader in BPCI Advanced than under BPCI Classic.
  • Of the 10 cardiovascular-focused episodes offered in BPCI Advance Year 1, most eligible clinicians participated in the congestive heart failure, cardiac arrhythmia and acute myocardial infarction episodes.

The ACC is continuing its efforts to improve participation in episode-based models, including the development of recommendations around a mandatory cardiovascular model.

To learn about this work, please contact yrafiq@acc.org.

Clinical Topics: Arrhythmias and Clinical EP, Heart Failure and Cardiomyopathies, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Acute Heart Failure

Keywords: ACC Publications, Cardiology Magazine, Centers for Medicare and Medicaid Services (U.S.), Safety-net Providers, Medicare, Models, Cardiovascular, Medicaid, Hospitals, Arrhythmias, Cardiac, Heart Failure, Myocardial Infarction


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