Changes to BPCI Advanced model catch providers off guard

Modern Healthcare: Providers taking part in Medicare's largest bundled-payment program are wary about changes unveiled Thursday by CMS' Center for Medicare & Medicaid Innovation.

The agency said it was changing how it sets target prices for the fourth year of its Bundled Payments for Care Improvement Advanced model to reflect decreased care costs and "make BPCI Advanced less susceptible to unpredictable changes in policy, coding and clinical practice for future model years," according to an email to BPCI Advanced participants. It will also force providers to select clinical episodes by service line instead of individual episodes. The changes are effective January 1.

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