Clay Richards Discusses Medicare's Bundled Payments for Care Improvement (BPCI) Demonstration (December 11th)
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Listen Now CMS has been experimenting with Medicare bundled payment arrangements, where the provider is reimbursed a total fee (either prospectively or reconciled retrospectively), for three decades. Under ACA authority CMS' Center for Medicare and Medicaid Innovation (CMMI) has launched several five-year bundled payment demonstrations, most notably BPCI that began in 2013. The BPCI demo allows providers to voluntary accept a bundled payment for any one of 48 Diagnosis Related Groups (DRGs), for example a heart attack, under three care models. Model Two is the most popular. It begins with an anchor acute hospital stay followed by 30 to 90 days of post acute care. The most common Model Two bundle is for hip or knee replacement surgery. Recently, the Lewin Group completed its third evaluation of the BPCI. Regardless of the demonstration's performance to date, has it moreover reduced spending and/or improved care quality and outcomes, it is anticipated CMS will renew the BPCI demo in the very near future since the current demo times out this September.
Clay Richards Discusses Medicare's Bundled Payments for Care Improvement (BPCI) Demonstration (December 11th)
Clay Richards Discusses Medicare's Bundled…
Clay Richards Discusses Medicare's Bundled Payments for Care Improvement (BPCI) Demonstration (December 11th)
Listen Now CMS has been experimenting with Medicare bundled payment arrangements, where the provider is reimbursed a total fee (either prospectively or reconciled retrospectively), for three decades. Under ACA authority CMS' Center for Medicare and Medicaid Innovation (CMMI) has launched several five-year bundled payment demonstrations, most notably BPCI that began in 2013. The BPCI demo allows providers to voluntary accept a bundled payment for any one of 48 Diagnosis Related Groups (DRGs), for example a heart attack, under three care models. Model Two is the most popular. It begins with an anchor acute hospital stay followed by 30 to 90 days of post acute care. The most common Model Two bundle is for hip or knee replacement surgery. Recently, the Lewin Group completed its third evaluation of the BPCI. Regardless of the demonstration's performance to date, has it moreover reduced spending and/or improved care quality and outcomes, it is anticipated CMS will renew the BPCI demo in the very near future since the current demo times out this September.