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Value of CMS' Voluntary Bundled-Payment Program Remains Unclear

Posted on Thursday, November 2, 2017 1:32 PM

Three years in a row, no one can determine if Medicare Bundled pay initiative cuts costs while improving care.

The CMS funded research showed providers were starting to reap the benefits of the Bundled Payments for Care Improvement initiative, but no one knows if it stems from the program. 

“The group looked at BPCI data from late 2013 to fall 2015, and found that Medicare payments for joint replacements decreased an average of $1,273, or 4.5%, per case. Congestive heart failure spending also dropped by an average of $970 per case, or 3.6% lower than the baseline.”

The findings are disappointing as BPCI is the leading source to assess the change from Medicare fee-for-service to one that is based on quality.

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