CMS Issues Guidance Regarding Bundled Payment Initiative Application Process

April 13, 2012 Author: Mark Faccenda


Key industry sectors

On April 10, 2012, the Center for Medicare and Medicaid Innovation ("CMMI") issued new guidance for applicants to the Bundled Payments for Care Improvement ("BPCI") initiative on new developments in the application process. The guidance provides instruction to applicants under Models 2, 3 and 4 and is intended to address many of the comments received during the initial stages of the process. Of note, CMMI indicated that because the Centers for Medicare and Medicaid ("CMS") is "interested in supporting awardees whose model design lends itself to rapid replication and scaling, in later stages of the selection process, CMS may request changes from applicants on specific aspects of their proposals, including episode definitions, to promote certain commonalities among awardees." Further, CMMI indicated that "CMS is seeking applications that present strong evidence of physician/practitioner commitment to align incentives through care redesign. In addition, CMS is seeking applications that present strong evidence of other participating providers' commitment." More information on the BPCI initiative is available here; CMMI's guidance is available hereMark Faccenda


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