DRIVE Health Statement on CMMI’s Bundled Payment Program Annoucement
The following is a public statement from the DRIVE Health Initiative in response to CMMI’s announcement of a new voluntary episode payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced or the Model) that will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for reducing expenditures and improving quality of care for Medicare beneficiaries.
The Center for Medicare and Medicaid Innovation announcement of the Bundled Payments for Care Improvement Advanced (BPCI-A) program is an important signal to the marketplace of the Center for Medicare and Medicaid Services’ intention to move toward value-based payment and delivery models. The BPCI-A program encourages payment models that reward physicians and hospitals for improved care delivery, outcomes, and efficiency, in contrast to traditional fee-for-service payment that rewards only the volume of services. The program’s payment structure encourages providers to accept full accountability for the cost and quality of these services, which was an important success factor in private-sector models. The program can be strengthened by including pre-admission services for certain episodes such as heart attacks and adding patient-reported outcomes to traditional clinical measures.
DRIVE Health Initiative spokespeople are available by contacting Taylor Leaming at firstname.lastname@example.org.