23 Oct HCTTF Joins Coalition Letter Regarding BPCI-Advanced Changes
The Health Care Transformation Task Force joined industry leaders in urging the Centers for Medicare & Medicaid Innovation (CMMI) to delay recent changes to the Bundled Payment for Care Improvement Advanced (BPCI Advanced) program for Model Year 4 (MY4) that would require participants to select clinical episode service line groups.
Summary of the Coalition Letter
We believe the BPCI-A changes reflect a significant shift at a time when providers have fewer resources to devote to a voluntary program. To ensure current participants remain in the model we request that CMS delay the changes for one year. At a minimum, CMS should allow participants an opportunity to remove service line groups or leave the program at the end of the first performance period in MY4. Participants who have to take on additional episodes in this service line group will have to engage a different set of care teams and post-acute providers. To avoid this undue burden, CMS should limit clinical service line groups to clinically similar episodes and allow episodes without a clinically relevant group to be selected individually. Finally, we request CMS provide the COVID-19 mitigation policies to any performance period in which there is a designated public health emergency.
Health Care Transformation Task Force
Premier healthcare alliance