CMS Opens Window for BPCI Advanced but Target Prices Are Still Behind the Curtains

Medicare’s new bundled payments program is expected to be popular, despite unanswered questions about the target prices for the episodes, risk adjustment, and use of quality data. Here’s what we know—and don’t know.

Michael D. Dalzell
Senior Contributing Editor
BPCI Advanced target prices will be based on historical data rather than regional rates, notes Jonathan Pearce of Singletrack Analytics. “You get paid for getting better, not being better, so it actually creates savings.”

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