Close
BPCI Advanced
BPCI Advanced

BPCI Advanced

Initial applications for BPCI Advanced are in. Now it’s time to analyze target prices, and select which episodes, if any, to participate in.  Participants are not obligated unless they choose to sign up in August.

Contact Veralon at VBP@veralon.com for assistance.

Check out Quanto, a powerful web-based tool to help you improve your Financial Performance!

Learn More!

 

Here’s a short primer about the program and a guide to key upcoming decisions.

About BPCI Advanced

BPCI Advanced is a voluntary program that allows hospitals and/or physician groups to manage episodes and receive financial rewards.

  • BPCI Advanced qualifies as an Advanced Alternate Payment Model under MACRA, allowing physicians to access the 5% bonus and avoid MIPS
  • Like the original program, BPCI Advanced has downside risk
  • In addition to 29 inpatient bundles, there are three outpatient bundles (See list)
  • All bundles will be for 90-days
  • Quality scores could decrease financial rewards by up to 10% for the first two model years

HOW VERALON CAN HELP

Veralon has years of experience in supporting clients with bundled payment and shared-risk arrangements. We can help your organization win with BPCI Advanced, in any or all of the following ways:

Veralon has years of experience in supporting clients with bundled payment and shared-risk arrangements. We can help your organization win with BPCI Advanced, in any or all of the following ways:

  • Obtain and analyze the Medicare data to understand your position in the market and evaluate the benefits and risks
  • Select episodes that are likely to be successful
  • Manage physician relationships (whether as associates or if they plan to pursue on their own)
  • Provide guidance on the care redesign process and design care improvement initiatives

During the Performance Period

  • Analyze claims, cost accounting, financial, and quality data to identify opportunities for improvement on selected conditions
  • Share best practices based on bundled payment expertise
  • Select the right post-acute care partners based on data-driven decision making
  • Provide our interactive web-based financial management tool, Quanto, so you can monitor cost drivers, top performers, and partners on an ongoing basis
  • Structure a working committee, and present financial results at steering committee meetings
  • Design and administer gainsharing models

Our clients have had wins in both surgical and medical bundles. Furthermore, we do not take a piece of your earnings.

To learn more about how Veralon can support your evaluation of BPCI Advanced, contact VBP@veralon.com or call 877-676-3600.

Other Resources:

Amanda Brown, MHA, Molly Johnson, MHSA and Amanda Kueh, “BPCI Advanced: Ten key differences from original BPCI” Becker’s Hospital Review, March 2018

Additional information on BPCI Advanced is available at the CMS: https://innovation.cms.gov/initiatives/bpci-advanced/