Calls mount for CMS to address problem of patient overlap across payment models

BJC HealthCare is in the CMS’ flagship accountable care organization program and nine of its hospitals participate in the federal agency’s flagship bundled-payments program.

Recently, the St. Louis-based not-for-profit health system learned that quite a few patients it treats under bundles are also attributed to its ACO.

Before knowing that, it was tough to predict how much savings the bundles would generate, said Dr. Sheyda Namazie-Kummer, director of the clinical advisory group in BJC’s Center for Clinical Excellence.