Bundled Payments (BPCI)
Expert articles and analysis related to bundled payments (bpci).
AI Summary — Last 30 Days
CMS is moving bundled payments from episodic pilots toward broader mandatory participation: the FY27 IPPS/LTCH final rule locks in CJR-X as a nationwide mandatory joint replacement bundle beginning in 2028, while hospitals simultaneously face TEAM downside-risk preparation beginning in 2027. For health systems, ACOs, and payer partners, the strategic issue is no longer whether to participate in orthopedic episode-based payment, but how to build governance, post-acute networks, surgeon alignment, data infrastructure, and gainsharing/value-based enterprise arrangements that can manage cost and quality across 90-day episodes. The near-term preparation window is narrowing, with stakeholders emphasizing readiness for CJR-X implementation and broader mandatory-risk infrastructure under TEAM.
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