Bundled Payments (BPCI)
Expert articles and analysis related to bundled payments (bpci).
AI Summary — Last 30 Days
CMS is signaling a sharper pivot toward mandatory episode-based payment, with the FY2027 IPPS proposed rule proposing a nationwide redesigned Comprehensive Care for Joint Replacement model, “CJR-X,” effectively extending the bundled-payment logic already embedded in TEAM across musculoskeletal care. The strategic issue for hospitals, ACOs, and MA/payer partners is that orthopedic episodes are becoming a proving ground for broader mandatory VBC infrastructure—post-acute steering, surgeon alignment, implant-cost discipline, readmission management, and data/AI-enabled episode tracking—rather than isolated BPCI-style pilots. See Hall Render’s breakdown of the proposed mandatory CJR-X expansion and MedCity’s framing of TEAM as a health-system opportunity.
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christian@revelaihealth.com
From newsletter: The Operator's Guide to CJR-X, the CMS Nationwide Mandatory Joint Replacement Bundle The Operator's Guide to CJR-X, the CMS Nationwide Mandatory Joint Replacement Bundle What the pr...
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The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2027 fiscal year (FY) signals another major acceleration in Medicare’s transition toward mandatory value-based care. Among the mos...
A Mandatory Shift: Why the CMS TEAM Model is an Important Opportunity for Health Systems
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