BPCI on ‘Pause,’ But Not for Long

The proposed cancellation of mandatory bundles from CMS is a great indicator that voluntary bundles will be announced imminently, says Carter Paine, chief operating officer at Newton, Massachusetts-based naviHealth, which develops software for care transitions. His reasoning? CMS and the Center for Medicare and Medicaid Innovation (CMMI) recognize bundled payments’ value and support their expansion in response to market demand.

Paine says the next iteration of Bundled Payments for Care Improvement (BPCI) will likely qualify as an Advanced Alternative Payment Model under MACRA, which creates an opportunity for hospital-based specialists and surgeons.

“The approaching BPCI model creates a compelling physician alignment opportunity for health systems that are seeking to establish better relationships with these high-value providers,” he says.

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