CMS introduces new bundled payment model

The U.S. Centers for Medicare and Medicaid Services (CMS) has introduced a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced), which will allow participants to earn additional payment if all expenditures for a beneficiary's episode of care are under a spending target that factors in quality.

Bundled payments create incentives for providers and practitioners to work together to coordinate care and engage in continuous improvement to keep spending under a target amount, CMS said. Participants in BPCI Advanced may receive payments for performance on 32 different clinical episodes; the program will qualify as an Advanced Alternative Payment Model (Advanced APM) under the Quality Payment Program, according to the agency.

A model performance period for the program will start on October 1 of this year and run through December 31, 2023. More information about BPCI Advanced can be found here, and CMS plans to hold a question and answer teleconference about the new model on January 30.

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