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Bundled Payments (BPCI)

Expert articles and analysis related to bundled payments (bpci).

33 articles•Last 30 Days

AI Summary — Last 30 Days

CMS is positioning bundled payments for a broader mandatory phase, with CJR’s reported $180M in Medicare savings and maintained quality strengthening the case for nationwide expansion while CJR-X moves joint replacement episodes into a more challenging environment of fewer, sicker inpatient cases and faster outpatient migration. The strategic tension for hospitals, ACOs, and post-acute partners is shifting from “can bundles save money?” to “who controls the episode as site-of-care moves outpatient,” especially as TEAM accelerates outpatient services and tighter home health coordination while Medicare’s inpatient-only list phaseout further pressures margins and care redesign. See: CJR savings and expansion rationale and CJR-X participation/model expansion

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9 Months In, TEAM Pushes Outpatient Services, Tighter Home Health Coordination

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Reducing Medicare joint replacement spending while maintaining quality - mathematica.org

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Source: Hal Andrews blog post

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CMS releases list of participants in CJR-X payment model for joint replacement procedures

CMS releases list of participants in CJR-X payment model for joint replacement procedures  American Hospital Association

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CJR-X: Improving Physician Alignment Through Gainsharing

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Simulating the Impact of the Transforming Episode Accountability Model

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Bundled Payments in Community Oncology: Making It Work

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Lessons for Nursing Homes as the TEAM Model Drives Changes in Hospital Referral Partnerships

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