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Why bundled payments are poised to take off
Managed Care (Langhorne, Pa.)
|January 9, 2019
Summary
Medicare providers are embracing the Bundled Payments for Care Improvement (BPCI) Advanced program, showing a readiness to redesign care delivery and accept financial risk. High enrollment indicates a significant shift in healthcare payment models.
Area of Science:
- Healthcare policy
- Payment reform
- Risk-based models
Background:
- The Centers for Medicare & Medicaid Services (CMS) introduced the Bundled Payments for Care Improvement (BPCI) Advanced program.
- This initiative encourages healthcare providers to participate in value-based care models.
Purpose of the Study:
- To assess provider engagement with the BPCI Advanced program.
- To understand the implications of risk-sharing in healthcare payment.
Main Methods:
- Analysis of enrollment data for the BPCI Advanced program.
- Monitoring provider adoption of bundled payment arrangements.
Main Results:
- Over 1,500 hospitals and physician groups enrolled in BPCI Advanced.
- Enrollment exceeded initial expectations for a program with immediate downside risk.
Conclusions:
- Medicare providers demonstrate a strong willingness to redesign care processes and assume financial accountability.
- The widespread adoption signals a potential transformation in healthcare reimbursement strategies, with commercial payers observing closely.
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