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

BPCI Advanced Basics

To better support healthcare providers

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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

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Care Redesign

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

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Data Analysis & Feedback

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

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Financial Accountability

Improve quality while reducing spending.

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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.

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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

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Payment and Risk Track

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

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Inpatient Clinical Episode Triggers

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

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Three Outpatient Clinical Episode Triggers

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

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Target Prices

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

BPCIA Timeline