CMS announces new voluntary bundled payment model

On January 10, 2017, the Centers for Medicare and Medicaid Services (CMS) through the Center for Medicare and Medicaid Innovation (CMMI) announced a new Medicare bundled payment model, Bundled Payments for Care Improvement Advanced (BPCI-Advanced), which will be an advanced alternative payment model (AAPM) under the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP). The model establishes alternative payment structures for 32 distinct clinical episodes, where providers can participate on a voluntary basis and receive performance-based payments for delivering care at less than a target amount and meeting quality standards.

Following on the 2013 CMMI BPCI initiative, BPCI-Advanced demonstrates CMS’ continued support of bundled payments on a voluntary basis to encourage both providers and suppliers to coordinate care across multiple settings and meet cost and quality benchmarks. This program is intended as an opportunity for providers to gain experience in care coordination and shared payment structures on their own terms. Details on BPCI-Advanced are described below.

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MACRA payment reforms: The journey is long, but the start date is fast approaching

Posted by Anne Phelps, principal, US Health Care Regulatory Leader, Deloitte & Touche LLP

As we move into the second half of 2016, preparing for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) may take up a lot more time than even the most forward-thinking health care stakeholders expected when they first started to learn about this new law. And for those who have continued to think of MACRA as “just the Doc Fix”–well, the lift might be even heavier.

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