CHARLOTTE, NC – January 22, 2018
PMMC, a leading revenue cycle management company, is equipping healthcare providers with the necessary bundled episode analytics to reduce spend in the newly announced Bundled Payments for Care Improvement Advanced (BPCI Advanced or the Model) by the Centers for Medicare and Medicaid (CMS).
“The BPCI Advanced Model is a great opportunity for healthcare providers to gain some valuable experience in total-cost-of-care models before they become mandatory,” said Tara Bogart, VP of Consulting Services at PMMC. “For those healthcare organizations already performing well in the selected clinical episodes, it makes a lot of sense to apply to the program and take advantage of the cost savings.”
PMMC’s bundled episode analytics reporting is the first step for healthcare providers in navigating bundled payment models such as BPCI. These analytics give providers the upper hand by allowing them to:
- Benchmark their current performance locally, regionally, and nationally.
- Identify spend reduction opportunities in the post-acute care process
- Measure the actual episode to date versus budgeted payments using predictive analytics
BPCI Advanced, which is a voluntary episode payment model, will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for reducing expenditures and improving quality of care for Medicare beneficiaries.
According to CMS, “BPCI Advanced aims to encourage clinicians to redesign care delivery by adopting best practices, reducing variation from standards of care, and providing a clinically appropriate level of services for patients throughout a Clinical Episode.”
The deadline for submission of applications for the initial enrollment period is March 12, meaning healthcare providers must act quickly to understand their current bundle performance before applying for participation.
PMMC provides high value revenue cycle software and services to improve the financial performance of healthcare organizations. Our software and expertise focuses on payment accuracy and identifying more revenue opportunities across the revenue cycle.
PMMC helps hospitals identify underpayments and denials, increase price transparency, and manage bundled payments. Clients see, on average, a 10 to 1 return on investment with software and services.