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Medicare Bundled Payments Model Cut Costs, Maintained Quality
RevCycle Intelligence October 10, 2018
CMS reported that the Medicare Bundled Payments for Care Improvement (BPCI) model reduced costs for 75 percent of clinical episodes while maintaining care quality.
Payments declined for approximately three-quarters of the clinical episode combinations in the Medicare Bundled Payments for Care Improvement (BPCI) model without impacting care quality, CMS recently reported.
Of the 67 BPCI model, participant, and clinical episode combinations analyzed in the evaluation of the bundled payment model’s fifth performance year, CMS found that Medicare payments fell for 50 combinations and the reduction was statistically significant for 27 of the combinations.
“This is particularly notable because of the consistent pattern of declines across both Models, different participant types, and a variety of clinical episode types (surgical procedures and...
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