Listen Now CMS' efforts, via the Centers for Medicare and Medicaid Innovation (CMMI), to develop episode-based bundled payment models in Medicare is now it its eight year. This work is currently being pursued under the 2018-initiated Bundled Payments for Care Improvement (BPCI) Advanced (that succeeded the BPCI demo, begun in 2013, now concluded) and the Comprehensive Care for Joint Replacement (CJR) and the Oncology Care Model demonstrations, both began in 2016. These models are designed to pay a specified or target price for a discrete episode of care, in CJR for a hip or knee replacement. Assuming quality performance is met, if spending is below the target price the provider recoups the savings, if above the target they owe the difference. Recent evaluations, discussed here, show these programs are on balance demonstrating savings, though modest, to the Medicare program. Listeners may recall I interviewed Archway's Founder and CEO, Dave Terry two years ago this month.
Archway Health's Keely Macmillan Discusses Medicare Bundled Payment Performance (February 19th)
Archway Health's Keely Macmillan Discusses…
Archway Health's Keely Macmillan Discusses Medicare Bundled Payment Performance (February 19th)
Listen Now CMS' efforts, via the Centers for Medicare and Medicaid Innovation (CMMI), to develop episode-based bundled payment models in Medicare is now it its eight year. This work is currently being pursued under the 2018-initiated Bundled Payments for Care Improvement (BPCI) Advanced (that succeeded the BPCI demo, begun in 2013, now concluded) and the Comprehensive Care for Joint Replacement (CJR) and the Oncology Care Model demonstrations, both began in 2016. These models are designed to pay a specified or target price for a discrete episode of care, in CJR for a hip or knee replacement. Assuming quality performance is met, if spending is below the target price the provider recoups the savings, if above the target they owe the difference. Recent evaluations, discussed here, show these programs are on balance demonstrating savings, though modest, to the Medicare program. Listeners may recall I interviewed Archway's Founder and CEO, Dave Terry two years ago this month.