Article | Bundled Payment

3 features that distinguish BCPI-A from its predecessor

Article | Bundled Payment

3 features that distinguish BCPI-A from its predecessor

The Bundled Payments for Care Improvement Advanced (BPCI-A) model differs from the original BPCI initiative in several ways, but three changes are key: 

  1. All BPCI-A participants are exposed to potential financial penalties from day one, with no phase-in period for downside risk. 
  2. All clinical episodes in BPCI-A consist of the anchor stay or procedure plus the 90-day post-acute period. Shorter 30-day and 60-day bundles are no longer an option, and the original BPCI acute-stay-only model has been discontinued.
  3. Up to 10% of payments are tied to quality, with seven quality measures covering both care processes and patient outcomes.

About the Authors

Douglas Ardoin Jr., MD, MBA,

is managing principal, Lumina Health Partners, Chicago 

John Malone, MOD,

is principal, Lumina Health Partners, Chicago (


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