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5 Critical Issues for BPCI-A

by John Harris, MBA, Molly Johnson, MHSA, Amanda Brown, MHA
HFM Magazine
June 2018

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Many hospitals and health systems may benefit from participation in the Bundled Payments for Care Improvements Advanced program, but there are many points that organizations should address before pursuing this option.

When the Center for Medicare and Medicaid Innovation (CMMI) created Bundled Payments for Care Improvements (BPCI), the benefits of participation were straightforward. The program provided competitive and strategic advantages with limited initial risk.

The intricacies of BPCI-Advanced (BPCI-A) make decisions in pursuing this model a little more complex than the earlier version of BPCI. Here, we explore five scenarios as a basis for discussing the various critical issues that hospitals and health systems will encounter as they contemplate whether to pursue a BPCI-A option.