FutureFocus January 17, 2018: New Voluntary Bundled Payment Model: Impact To Post-Acute Providers

Lisa Remington

In this week's FutureFocus, we address the new voluntary bundled payment model and the impact to post-acute providers. Participants may receive payments on 32 different clinical episodes. Medicare-enrolled or not Medicare enrolled providers or suppliers may participate. We provide the details. In another article, the American Hospital Association comments on MedPAC's proposal for changes to post-acute payments and their concerns with moving this forward. 

Lisa Remington, President, Remington Health Strategy Group

The Centers for Medicare and Medicaid Services (CMS) announced January 9 the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Under this bundled payment model, participants can earn additional payment over the usual fee-for-service if all expenditures for a beneficiary‚Äôs episode of care are under a spending target that factors in quality. The goal is to improve quality, coordination, and cost-effectiveness for both inpatient and outpatient care.

The American Hospital Association (AHA) again urged the MedPAC commission not to use a proposed blend of new and current weights to calculate 2019 and 2020 payments under its prototype post-acute care prospective payment system, citing concerns with the proposal's feasibility.

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