Participants in the Medicare bundled payment programs hope to achieve positive financial results by revising care processes, focusing on particular elements of post-acute care, reducing medically unnecessary care and hoping that the resulting cost savings will fall to their bottom line. In many cases this will occur.
Guidance for Healthcare Providers and Purchasers
Leading healthcare data analytics insights:
In evaluating episode participation in the BPCI Advanced program, evaluation of targets can provide significant guidance in selection of episodes with high probability of financial success. This article explores the process for evaluating targets in the BPCI Advanced program.
Many hospitals participating in the Medicare BPCI Advanced program have recognized the importance of thorough coding of diagnoses to ensure that all applicable Hierarchal Condition Categories (HCC's) for each patient have been identified and coded on the Medicare bill.