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CMS Announces New Payment Model to Improve Quality, Coordination, and Cost-Effectiveness for Both Inpatient and Outpatient Care

Posted on Wednesday, January 10, 2018 9:21 PM

CMS and Center for Medicare and Medicaid Innovation announced the launch of a new voluntary bundled payment model called Bundled Payment for Care Improvement Advanced (BCPI Advanced).  In this new model, participants can earn additional payment if all expenditures for e beneficiary’s episode of care are under a spending target that factors in quality.

“Bundled payments create incentives for providers and practitioners to work together to coordinate care and engage in continuous improvement to keep spending under a target amount. BPCI Advanced Participants may receive payments for performance on 32 different clinical episodes, such as major joint replacement of the lower extremity (inpatient) and percutaneous coronary intervention (inpatient or outpatient). An episode model such as BPCI Advanced supports healthcare providers who invest in practice innovation and care redesign to improve quality and reduce expenditures.”

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