A recent article by ECG Management Consultants reviews the growth of BPCI Advanced participation for Model Year 3.
Editor's Note: This article orginally appeared on ECG's website.
Participation in BPCI Advanced (BPCI-A) grew by 58% between March 2019 and January 2020. After the voluntary March withdrawal period, in which 16% of providers dropped from the model, there were 1,295 providers remaining in BPCI-A. During summer 2019, CMS opened the model to new applicants, allowing them to join existing providers for the third model year (MY), beginning January 1, 2020. Based on the latest participant list released by CMS, 2,041 providers are now participating in BPCI-A. Notably, only 18% of providers dropped from the model between MY2 and MY3.
Provider Participation
The addition of 451 new PGPs reflects the growing trend of PGPs entering episode-of-care programs. Many commercial payers are putting physicians in the driver’s seat and incentivizing them to reduce utilization and increase care coordination through bundled payment programs. PGPs may sense that there will be increased pressure from commercial payers to participate in these models and are using BPCI-A (where losses are capped) as a trial run to gain the competencies needed to manage an episode of care. Click here to continue>>
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