July 31 2018 By: Benjamin Swails

BPCI Advanced – 9 days to episode selections

Have you decided how your organization will approach CMS’s Bundled Payments for Care Improvement Advanced (BPCI-A) Program? The deadline for episode selection is next Wednesday, August 8th and the pressure is on take advantage of the digital resources available to help you finalize your strategy for clinical and financial success.

The recently announced “Opt-Out” option makes BPCI Advanced much more attractive to healthcare leaders looking for low-risk opportunities for innovation in value-based programs.

In light of the new withdrawal policy, there is no risk in applying to “riskier” episodes (with the right analytics partner). But even with a convener, many providers will struggle to project their future performance to determine whether they should stay in a particular episode beyond the March withdrawal period. Clarify has the most recent performance data and provides customers with a continuous projection of their bonus or penalty based on real-time target price calculation.

BPCI-A is the most complex bundled payment program yet to come from CMS; to be successful your team needs:

  • A partner with full access to the Medicare claims database to generate on-demand performance insights using a state-of-the-art machine learning
  • Explanations of exactly how your performance bonus / penalty is trending for each episode in real-time
  • Precise case-mix adjustment and peer performance comparisons to rapidly surface and prioritize improvement opportunities to maximize
  • A “risk-free” trial – a partner who delays invoicing on supported episodes until you select the final set of episodes in March 2019

Clarify Health Solutions is this partner. Check out a sample of our BPCI-A Insights Report.

If you have questions about what the March 2019 withdrawal could mean for your business, Clarify is here to help. Our unparalleled Clinical Transformation and Implementation team, made up of clinicians with operational and business experience, is here to advise and guide on whether or not you want to enter new episodes.

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