BPCI Advanced is here | Let us help you control your own future.

BPCI Advanced Basics

To better support healthcare providers

cms-logo-transparent

BPCI-Advanced Model Purpose

“To better support healthcare providers who invest in practice innovation, care redesign, and enhanced care coordination, the Center for Medicare and Medicaid Innovation (CMS Innovation Center) has launched the Bundled Payments for Care Improvement Advanced (BPCI Advanced) voluntary bundled payment model. BPCI Advanced qualifies as an Advanced Alternative Payment Model (Advanced APM) under the Quality Payment Program.”

BPCI-ADVANCED ADVANTAGES

ICON-1-100x100
Care Redesign

Supporting the continous reenginering of best practices, protocols and patient pathways.

ICON-2-100x100
Data Analysis & Feedback

Decrease the cost of each Clinical Episode by reducing variation and eliminating unnecessary or low-value care.

ICON-3-100x100
Financial Accountability

Improve quality while reducing spending.

ICON-4-100x100
Health Care Provider Engagement

Create an environment for peer-to-peer education and best case practice development through utilization of dynamic protocols and learning environments.

ICON-5-100x100
Patient & Caregiver Navigation and Engagement

Encourage patient and support system engagement in care through use of expert-supported technologies, education modules, and on-going communication.

MORE ABOUT BPCI-ADVANCED

icon

Payment and Risk Track

Single payment and risk track beginning on the day of triggering inpatient stay and extending 90 days post discharge.

icon

Inpatient Clinical Episode Triggers

33 Clinical Episodes triggered by the submission of a claim for an inpatient hospital stay identified by applicable MS-DRG.

icon

Four Outpatient Clinical Episode Triggers

Total Knee Arthroplasty, Percutaneous Coronary Intervention, Cardiac Defibrillator, and Back & Neck (except fusion).

icon

Target Prices

Provided in advance of the first performance period and adjusted during a semi-annual adjustment.

MY3BPCIA_timeline