Bundled Payments for Care Improvements Initiative

The Centers for Medicare & Medicaid Services (CMS) recently announced the health care organizations selected to participate in the Bundled Payments for Care Improvement (BPCI) initiative, an innovative new payment model. Under BPCI, organizations will enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality and more coordinated care at a lower cost to Medicare.

According to CMS, the research supports bundled payments that align incentives for providers, including hospitals, post-acute care providers, physicians, and other practitioners. In one model, the episode of care will include the inpatient stay in the acute care hospital and the episode will end either 30, 60, or 90 days after hospital discharge. Participants can select up to 48 different clinical condition episodes. In an alternate model, the episode of care will be triggered by an acute care hospital stay and will begin at initiation of post-acute care services with a participating skilled nursing facility, inpatient rehabilitation facility, long term care hospital or home health agency. Likewise, participants can select up to 48 different clinical condition episodes.

For a complete list of New York health care organizations selected, please click here.