As described in this Singletrack Analytics blog article, the three target adjustment factors (efficiency, patient case mix adjustment (PCMA), and peer adjusted trend (PAT) can vary widely among hospitals in episode types.
Guidance for Healthcare Providers and Purchasers
Leading healthcare data analytics insights:
CMS provided BPCI Advanced applicants with an unexpected gift in early July when they announced a "no harm, no foul" bailout opportunity for all participants occurring in March 2019. At that point, participants can retroactively terminate participation in any or all BPCI Advanced episodes, with no financial risk. This gives participants an additional eight months past the August 1 application deadline to evaluate opportunities in various selected episodes.
Most applicants in the Medicare BPCI Advanced program are evaluating participation in various episodes with the goal of achieving financial success by reducing costs in those episodes. Some innovative hospitals, however, are applying an additional criterion for participation in some episodes.