In late 2011, CMS kicked off their first round of Bundled Payments for Care Improvement (BPCI) initiative, a new payment model considered a middle ground between fee for service reimbursement and capitation, in which providers are paid a “lump sum” per patient. Under BPCI, organizations and physicians will be able to “enter into payment arrangements that include financial and performance accountability for episodes of care,” with a goal of improving quality and care coordination at a lower cost to Medicare. Alternative to traditional payment models, bundled payments allow separate providers to work together to better coordinate care, and benefit from generated savings.
In our up and coming series dedicated to bundled payments, HMS will break down the four defined models (each model made to fit a specific type of care) of care that are currently being offered. If you are interested in learning more about bundled payment options for your practice, please contact HMS at (203)-294-6659.
Click here to read more about bundled payments (Source: CMS)