Fewer Providers Participating in the Bundled Payments for Care Improvement Advanced Model

///Fewer Providers Participating in the Bundled Payments for Care Improvement Advanced Model

Fewer Providers Participating in the Bundled Payments for Care Improvement Advanced Model

On Thursday, the Centers for Medicare and Medicaid Services (CMS) made the announcement that the number of providers who participate in the Bundled Payments for Care Improvement (BCPI) Advanced model has decreased by 16%, scaling down to 1,086 providers from 1,299 providers. The BCPI Advanced model was initially started in October 2018 as the first alternative payment model developed during the Trump administration. The BCPI Advanced model will run through the end of the year in 2023.

The BCPI Advanced model had a shaky initiation due to late data from the CMS. This caused delay for providers to make decisions on which bundled payment model to select. Since the start of the BCPI Advanced model in October 2018, the number of participants included 832 acute care hospitals and 715 physician group practices.

In July 2018, before the rollout of the BCPI Advanced model, the CMS had announced that participants will have an option to withdraw from the BCPI Advanced model. This was intended to allow for the physicians to experience and understand the model before staying in it for the long term.

The CMS has experienced a long running issue of keeping hospitals in bundled payment models, noting that high benchmark prices have been a persistent complain from hospital groups. Most hospitals decide to stop participating in bundled payment options due to the uncertainty of financial success.

Read the original article from Modern Healthcare here.

By | 2019-03-22T13:01:14+00:00 March 22nd, 2019|Articles, Government Mandates and Compliance|0 Comments