The Centers for Medicare & Medicaid Services (CMS) has announced that the application period for second cohort of participants in the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model will begin in April 2019. MedBen Analytics, which provides insightful reporting services for voluntary and mandatory bundled payment models, can help your organization make a successful transition to value-based care.
The second cohort of participants will start on January 1, 2020, which is Model Year 3. In its announcement, CMS noted that it does not intend to have additional enrollment periods for Model Year 4 (2021) or Model Year 5 (2022).
Currently, BPCI Advanced consists of 32 bundled clinical episodes – 29 inpatient and 3 outpatient. CMS is finalizing the selection of new clinical episodes for Model Year 3, which will include outpatient Total Knee Arthroplasty (TKA).
In a separate update, CMS reported that following the March 1 deadline for first cohort participants to terminate their participation, the number of participants for Model Year 2 “remains robust at 1,086.” The BPCI Advanced model runs from October 1, 2018 through December 31, 2023.
Whether you’re a current BPCI Advanced participant or plan to apply for the second cohort, MedBen Analytics can help your organization realize the most value from the voluntary bundled care model. Our knowledge of Medicare data consolidation and analysis, backed by over 80 years of experience in medical claims management, will provide you with the information necessary to make improvements through the patient journey while unlocking profit potential.
If you have any questions about the BPCI Advanced program or your how your organization can benefit from bundled payment data insights, please contact MedBen President and CEO Kurt Harden at 888-633-2364 or email firstname.lastname@example.org.