Bundled Payments: How to make a million dollars without doing any more work!

By: Dr. Mansoor Khan Medicare’s Bundled Payment for Care Improvement (BPCI) program has seen more ups and downs than the stock market lately. The Obama administration launched the programs and went thru 4 models including a mandatory model (Joint Replacement). The first 2 Secretaries of HHS under Trump decided that they didn’t like bundled payment programs and canceled 2 upcoming mandatory programs (care for heart attacks and for cardiac bypass surgery) but allowed the voluntary BPCI Advanced program to go forward. The 3rd HHS Secretary (Alex Azar) has now just announced that they will be launching 3 new mandatory bundles because, as he put it “BPCI Advanced is a voluntary model, where potential participants can select whether they want to join. But we’re not going to stick to voluntary models. Real experimentation with episodic bundles requires a willingness to try mandatory models. We know they are the most ... read more