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Setting Your BPCI Advanced Strategy: Understanding the Key Drivers of Success


Medicare’s Bundled Payment for Care Improvement Advanced (BPCI Advanced) program is more than just a value-based payment contracting option. It has significant strategic implications for physician alignment, commercial payer contracting, and ACO strategy. It can also make physicians eligible for the MACRA Alternative Payment Model 5% bonus. Deciding about BPCI Advanced involves much more than a simple calculation of savings opportunities.

Learning Objectives

Participants will:

  • Learn BPCI Advanced program requirements, financial opportunity, and risks
  • Understand key drivers of success, including analytics, post-acute strategy, and physician engagement
  • See how to evaluate episode options and determine which episodes are likely to be successful
  • Assess whether BPCI Advanced will secure the MACRA 5% bonus
  • Recognize strategic considerations
    • How does BPCI Advanced look to physician groups – will they apply and outmaneuver hospitals?
    • How can hospitals use BPCI Advanced to align with physicians?
    • How does BPCI Advanced interact with ACOs and other value-based arrangements?
    • Is there opportunity for commercial bundles as well?
    • What are effective strategies for care redesign based on the bundles chosen?