Industry Insights

 Initially some BPCI participants were intrigued with the idea of participating in limited, procedurally-based episodes such as percutaneous coronary interventions (PCI) episodes in the Medicare Bundled Payment for Care Improvement program.

We've frequently commented on the need for up-to-date skills and computer hardware and software to be able to analyze the data that accompanies participation in capitated and bundled payment programs.  This HIMSS article highlights some of those issues and the barriers that they present to successful participation.

Jonathan Pearce, CPA, FHFMA and Coleen Kivlahan, MD, MSPH

Many participants in “Phase I” of the Medicare Bundled Payment for Care Improvement (BPCI) program were surprised by their first look at the impact of CMMI’s BPCI precedence rules when comparing  two sets of baseline data recently provided by CMS. This data show the number of episodes and target prices for episodes under two scenarios: