Many Alabama providers participated in the Quality Payment Program in 2017, under MIPS (Merit Based Incentive Program). A handful participated in a MIPS APM (Alternative Payment Model), which is a baby step towards alternative payments, but still left the participants free from downside risks. As we pass the half-way point for the 2018 performance period, exploring risk bearing programs is on the rise.
The Alternative Payment Model for which I get the most questions is the Bundled Payment for Care Improvement (BPCI) model. This model requires formal contracts for participation, and the deadline to confirm participation in this model is fast approaching on August 8th, 2018. Historical performance data was recently released and interested parties are scrambling to review all contract options. The BPCI performance period begins October 1, 2018.
BPCI seems complicated – why would anyone want to do this?
What’s the catch?
If you are interested in BPCI and missed the deadline- no worries, you can choose to participate in the next round which starts in January 2020.
Joni Wyatt, MHS is a healthcare advisor with Kassouf & Co. She has over 15 years of experience in the healthcare industry.
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