CMS has finally released the long-awaited specifications for target price computation for the BPCI Advanced program. This document provides general guidance into the process used to determine these targets, but many details will not be clear until the actual targets are released.
Guidance for Healthcare Providers and Purchasers
Leading healthcare data analytics insights:
Hospitals interested in applying for the BPCI Advanced program should note that there are several options for their participation. However, participants will be limited only to options for which they submit applications by March 12, 2018. Therefore, to keep their options open hospitals must submit applications for any alternative structure that they later may wish to adopt.
The alternatives for hospitals are:
CMS recently released an updated "frequently asked questions" document for the Comprehensive Care for Joint Replacement (CJR) program. Of interest in that FAQ was statistics regarding the number of hospitals currently participating in CJR. As most followers of mobile payment programs are aware, CMS reclassified 33 of the 67 formerly-mandatory Metropolitan statistical areas (MSAs) to be voluntary, allowing hospitals in those MSAs to cease participation in the CJR program.