RevCycle Intelligence July 1, 2020
Jacqueline LaPointe

Early data from the Bundled Payments for Care Improvement Advanced model show promise for savings, but new research says episode design plays a bigger part in whether bundled payment models truly work.

Hospitals and physician group practices (PGPs) participating in the first two cohorts of the Bundled Payments for Care Improvement (BPCI) Advanced have a good chance of reducing episode payments. Although the reason may not have much to do with altering practice patterns, according to the model’s first annual evaluation report.

“Because the hospitals chose clinical episodes for which they had higher episode payments, they stand a better chance of reducing episode payments than they would have with lower episode payments,” the report stated. “Similarly, PGPs may make strategic...

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Topics: Bundled Payments, CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Provider, Survey / Study, Trends, Value Based
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