Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model

Year One Evaluation Annual Report Key Takeaways:

There was generally broad participation in BPCI Advanced among hospitals and Physician Group Practices (PGPs). Most participating hospitals and PGPs joined the model as downstream Episode Initiators (EIs) under a convener participant and many cited similar reasons for entering the model. Although there was participation in all 32 clinical episodes, most EIs chose to participate in fewer than five. Hospital EIs had higher median historical payments for the clinical episodes they chose than hospitals that were eligible but chose not to participate. Future reports will incorporate estimates of the impact of the model on payments, utilization and quality of care, and Medicare program savings, in addition to beneficiary-reported outcomes on functional status and satisfaction.