117 hospitals drop out of BPCI Advanced: 5 things to know

The number of healthcare providers participating in Bundled Payments for Care Improvement Advanced has dropped 16 percent since the payment model launched Oct. 1.

Five things to know:

1. BPCI Advanced, which CMS unveiled in January 2018, includes 32 clinical episodes, with 29 in the inpatient setting and three in the outpatient setting.

2. Under the program, provider payments are based on quality performance during a 90-day episode of care. CMS selected seven quality measures for BPCI Advanced. Two of them, the all-cause hospital readmission measure and the advanced care plan measure, are required for all clinical episodes. The other five measures only apply to select clinical episodes.

3. The first cohort of providers started participating in the model Oct. 1, and the performance period will run through Dec. 31, 2023. Participants were given until March 1 to retroactively withdraw from the voluntary program without financial penalty.

4. When BPCI Advanced was rolled out Oct. 1 there were 1,547 providers (832 hospitals and 715 physician groups) participating in the bundled payment model. Five months later, there are 1,295 providers (715 hospitals and 580 physician groups) participating in BPCI Advanced, according to data released by CMS March 21.

5. CMS will open a second application opportunity for BPCI Advanced in April. The second cohort of participants will start on Jan. 1, 2020.

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