Bundled Payments – Last Call???

The following was originally published on healthcareITToday.com.   Medicare’s Bundled Payment for Care Improvement (BPCI) program has seen more ups and downs than the stock market. Here we go again! CMS seems to be pulling another about-face on Bundled Payments. Here is what I wrote in a blog post about the program back in November 2018.
The Obama administration launched the programs and went through four models including a mandatory model (Joint Replacement). The first two Secretaries of HHS in the Trump administration decided that they didn’t like bundled payment programs and canceled two upcoming mandatory programs (care for heart attacks and for cardiac bypass surgery). ... read more

Getting Ready for Bundled Payments: On Your Mark. Get Set. Go.

By: Dr. Mansoor Khan So you have decided to join the bundled payments train, now what? CMS has not yet announced the dates for when the application period will start and what the other associated dates will be. But we do know that the start date for the next BPCI Advanced program will be Jan 1, 2020. If we assume that the application process will follow the same timeline as 2018, we can expect the application portal to be open in late March or early April. There are a number of things that you do right now that will help you be ready to apply for, launch, and successfully manage your BPCI-A program. Required activities can be grouped into two categories: what you need to do to prepare to apply, and what are the tasks you’ll need to accomplish to successfully run your BPCI-A program. Figure 1, below, lists both the high-level activities that will need to be performed as well as the recommended order and duration of each ... read more

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