Bundled Payment

Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say

A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.

Nick Hut October 21, 2021

CMS is curtailing voluntary participation in the Comprehensive Care for Joint Replacement bundled payment model

Hospitals that participated in the Comprehensive Care for Joint Replacement model on a voluntary basis over the last three years will be excluded after Sept. 30.

Nick Hut May 3, 2021

March 4-March 8: Safety-Net Hospitals Underperform in CJR

As Medicare considers the launch of more mandatory payment models in the coming months, new research reports safety-net hospitals that were required to participate in the first mandatory Medicare bundled payment model underperformed other participating hospitals.

Rich Daly February 12, 2021

Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA

HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.

Chad Mulvany, FHFMA December 10, 2020

Changes coming to bundled payments and Direct Contracting, CMMI chief says

Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.

Rich Daly October 19, 2020

Mandatory Medicare ESRD model to launch in January 2021

A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.

Rich Daly September 21, 2020

CMMI announcement foreshadows more mandatory bundled payment models

HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.

Chad Mulvany, FHFMA September 17, 2020

Big Medicare bundled payment changes could cut participation, advisers say

Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.

Rich Daly September 14, 2020

After big payouts, Medicare may throttle back bundled payment program

Most BPCI-A participants could see bonuses dry up if proposed changes in the program are implemented.

Rich Daly July 22, 2020

Bundled payment participants face choices on 2020 performance measurement, continued participation

CMS further detailed how hospitals should evaluate their 2020 options and whether to continue in the BPCI-A model.

Rich Daly June 22, 2020
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