HFMA March 19, 2019
CARDIAC PRACTICES HAD A TOUGH TIME MEETING THE PAYMENT BENCHMARKS SET BY CMS, ACCORDING TO AN ADVISER.
Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.
Medicare’s Bundled Payments for Care Improvement Advanced (BPCI Advanced) bundled payment model launched Oct. 1, 2018, and runs through the end of 2023. Providers that volunteered to participate face two-sided risk in managing all spending compared to a specified target for episodes of care within 32 clinical bundles, with quality measures factored in.
The 1,299 BPCI Advanced participants were given a one-time opportunity to drop out on March 1 for any reason. The Centers for...
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