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Welcome to Toward Accountable Payment, the official blog of the Medicare Payment Innovation Project. The project is an ongoing initiative to study provider payment reform and support organizations engaging in innovative payment programs.
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Last month, the Center for Medicare and Medicaid Innovation (CMMI) announced that more than 450 hospitals and post-acute providers were selected for the Bundled Payments for Care Improvement (BPCI) initiative. Participating providers will be reimbursed through single case rates for select episodes of care, combining payment for a variety of related hospital, physician, and post-acute services.
Although the BPCI initiative just launched in February, it already includes more participants than CMS’s two flagship accountable payment programs, the Medicare Shared Savings Program (MSSP) and Pioneer ACO Model. BPCI includes a diverse collection of providers with facilities in 44 states, contracting for nearly 9,000 combined medical and surgical bundles across inpatient and post-acute settings.
Putting CMMI's newest (and biggest) program on the map
We're only two months into 2013, and this has already proven to be a busy year for payment innovation. So far, we have welcomed 106 new Medicare ACOs and more than 450 Medicare bundling sites—not to mention the range of program and pilots underway in the private sector.
This year also marks an important evolution in the transition to accountable care. Providers are increasingly shifting focus from evaluating potential payment models to operating under new risk-based contracts.
To support providers beginning to tackle risk-based contracts, I want to introduce Toward Accountable Payment readers to our sister blog, the Care Transformation Center Blog. Log in now to subscribe to their email alerts.
Meet the Care Transformation Center Blog
As hospitals and health systems experiment with ACO pilots, leaders are exploring a range of patient populations—extending well beyond Medicare fee-for-service beneficiaries. For some organizations, Medicaid managed care offers an attractive opportunity for risk-based contracting.
We encourage any leaders considering Medicaid risk contracts to join us for a special webconference, “Managing the New Medicaid Population,” on Tuesday, Feb. 19 at 3 p.m. ET. Featuring experts from both the Advisory Board and the Urban Institute, this is a can't-miss session.
Webconference alert: Managing the New Medicaid Population