Bundled Payment Pilot

Outlier Oddities - How the Middle BPCI Risk Track Became the Right Choice

Once advantage of working with many clients is the diversity of situations that you get to see. So when we got a call that a client wanted to discuss the merits of the various selections of risk tracks under the Medicare BPCI bundled payment initiative, we gathered the team together for a conference call.

Episode Choices and Bundled Payment Risk

Earlier in 2013 we wrote an article about the effect of selection of individual DRGs for participation in the Medicare Bundled Payment for Care Improvement (BPCI) program.

The Medicare Bundled Payment Program Moves Forward

Over the summer the Medicare bundled payment model gained momentum as the primary vehicle for next-generation provider payment. This was due to two factors. The first was the unexpectedly high participation rate in the third wave of participation in the Bundled Payment for Care Improvement (BPCI) program. According to this Modern Healthcare article more than 6,000 providers have signed up to receive data to evaluate participation in BPCI, or are already at risk in this program.

"A Tale of Two Cities" – How Two Hospitals in Different Locations Approached Bundled Payment Strategies

Emerging Payment Models for ACOs and Bundled Payments

At the recent Becker’s Hospital Review Annual Meeting in Chicago, several presentations covered accountable care organizations, bundled payments and other new payment methodologies. Although not described specifically in these presentations, two different payment arrangements are emerging in which payers and providers are cooperating to reduce healthcare costs. This article compares and contrasts those payment methodologies.

Presentation on Bundled Payment at the Becker's Hospital Review Annual Meeting

At the recent Becker's Hospital Review Annual Meeting, Jon Pearce from Singletrack Analytics and Kelly Price from DataGen presented a session on "Leveraging Lessons Learned from Medicare's Bundled Payment Program".

Implications of CMS's Bundled Payment Pricing Methodology

Assessing Savings Opportunities in the Medicare Bundled Payment Initiative

Assessing savings opportunities in the Medicare bundled payment initiative

The Medicare Bundled Payment for Care Improvement (BPCI) initiative provides opportunities for participants to create financial advantages in several ways. This article describes the categories of these opportunities, the differences in strategies for approaching the opportunities, and some limitations on their potential for success.

Bundled Payment Analytics - the Effect of Risk Tracks and Outlier Limits on Payment and Incentives

This article was originally written in November, 2012 when the concept of outliers was initially proposed by CMS. Portions of the article were updated in June, 2013 after the proposal for multiple outlier limits were released.

One of the changes implemented by CMS in this round of the bundled payment application project is the introduction of outlier limits on episode costs. The original CMS proposal was for one set of outliers established at fifth and 95th percentiles of episode costs, but the current proposal establishes three outlier options:

Comments on H&HN Article about Bundled Payments

The current issue of Hospitals and Health Networks magazine contains an informative article about the broader issues involved in contracting with payers on a "bundled payment" basis.

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