Managed Care Mag December 2, 2019
This month, hospitals and physicians in the second wave of applicants to CMS’s Bundled Payments for Care Improvement Advanced (BPCI-A) model are deciding whether to take the plunge. In late September, CMS provided four years’ worth of claims data to applicants, who have until December 1 to look the information over and decide whether to participate in the program.
CMS hasn’t said how many organizations applied when the window was open last spring. But if anecdote is any gauge, enthusiasm for the two-sided risk model is high—likely, in part, because of changes to the program that take effect on January 1.
The most salient of those changes was the addition of four inpatient episodes—seizures, inflammatory bowel disease, bariatric surgery,...
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