CMS announces new voluntary bundled payment model

Editor's Note

The Centers for Medicare and Medicaid Services (CMS) on January 9 announced a new voluntary bundled payment model called, “Bundled Payments for Care Improvement Advanced” (BPCI Advanced).

Participants in BPCI Advanced will receive payments for performance on 32 (29 inpatient, 3 outpatient) different clinical episodes.

The first cohort of providers will start October 1, 2018, and the model performance period will run through December 31, 2023. Providers have until March 12, 2018, to apply. CMS will provide a second application opportunity in January 2020.

The payment model will qualify as an Advanced Alternative Payment Model under the agency’s Quality Payment Program, which means providers will be eligible for bonuses under the Medicare Access and CHIP Reauthorization Act. 

The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) is announcing a new voluntary episode payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced or the Model) that will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for reducing expenditures and improving quality of care for Medicare beneficiaries.

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