September 18, 2020
CMS Announces Model Changes to BPCI-A
In an email to BPCI-Advanced participants, CMS announced changes aimed at offsetting Medicare losses. Effective January 1st, the Agency will adjust target prices retrospectively based on peer group trends. Providers will also be required to select clinical episodes by service line, instead of by individual episode categories as they could before. The email also teased a new mandatory bundled payment model, which CMS plans to launch in 2023 once BPCI concludes.