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Voluntary vs. Mandatory: What’s the Future of Bundled Payment Participation?

by MedBen Analytics | Sep 25, 2018 | BPCI, BPCI Advanced, Bundled Payments, CJR, CMS, Mandatory Participation, Voluntary Participation

On October 1, the Centers for Medicare & Medicaid Services (CMS) will roll out its newest bundled payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced). This voluntary program builds on the foundation of the original BPCI initiative, which...

MedBen Analytics Helps Hospitals to Better Coordinate Discharges

by MedBen Analytics | Sep 12, 2018 | CJR, Discharges, Lower extremity joint replacement (LEJR), Medicare

A new study published in JAMA highlights positive discharge numbers for hospitals participating in the Comprehensive Care for Joint Replacement (CJR) model. The study analyzed changes in discharges to institutional post-acute care after lower extremity joint...

CMS Releases Corrected PY1, PY2 Reconciliation Reports

by MedBen Analytics | Jul 30, 2018 | BPCI, CJR, CMS, Gainsharing, MedBen Analytics, Reconciliation reports

Last week, The Centers for Medicare & Medicaid Services (CMS) released corrected Performance Year (PY) 1 final reconciliation reports and PY2 initial reconciliation reports. This action was taken after an error was detected in the application of exclusion logic...

BPCI vs. CJR: Participation and Performance

by MedBen Analytics | Jun 18, 2018 | BPCI, Bundled Payments, CJR, Performance

Using Medicare and American Hospital Association data, Health Affairs recently compared characteristics and baseline performance among hospitals in Medicare’s voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care...

CMS Final Rule Slows (But Doesn’t Stop) Bundled Payment Growth 

by MedBen Analytics | Nov 4, 2017 | CJR, Medicare

We pretty much knew it was coming, but on November 30 the Centers for Medicare and Medicaid Services (CMS) finalized its decision to cancel mandatory hip fracture and cardiac bundled payments scheduled to go into effect January 1, 2018. CMS also reduced the number of...

MedBen Analytics Clients Well-Represented on CJR Results List

by MedBen Analytics | Oct 23, 2017 | CJR, MedBen Analytics

Last week, the Centers for Medicare & Medicaid Services (CMS) released preliminary results for the first year of the Comprehensive Care for Joint Replacement (CJR) program, which revealed that participating hospitals earned $37.6 million in reconciliation...
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