By: Eric Z. Shan; Joshua Liao MD, MSc; Jack J. Huang, and Amol Navathe, MD, PhD
In October 2018, the Centers for Medicare & Medicaid Services (CMS) launched the Bundled Payments for Care Improvement Advanced (BPCI Advanced) program to continue expanding bundled payments nationwide. Participating hospitals and physician group practices are eligible for financial incentives if they meet quality and cost benchmarks for 90-day episodes beginning with either a hospital admission or an outpatient procedure. In a previous post and article, we described the 832 hospitals that began participating in October 2018.
Since then, CMS allowed a one-time opt-out in March 2019, which reduced the size of the hospital cohort to 715 hospitals. In January 2020, CMS enrolled a second cohort of participants and expanded the number of potential episodes from 32 (29 inpatient and 3 outpatient) to 35 (31 inpatient and 4 outpatient). Currently, 1,010 hospitals participate in BPCI Advanced.
Read more at Penn LDI.