Five Reasons You Can Benefit From the New Voluntary Bundles

Philip Betbeze, February 8, 2018

Lassen says looking at total investments required to do the MIPS reporting and Medicare adjustments through 2026, he's not so sure MIPS offers a good risk-return probability anyway.

"They don't have to worry about that if they participate in BPCI Advanced models," he says.

5. Better patient engagement

The BPCI Advanced program is based on patient-centered care, navigation, and transparency, says Lassen.

"When we do our direct-to-employer bundled programs, we lead patient participation through that whole process, and it's key for [clients], because it can get quite complex. You need to be able to navigate the patients through it."

Focus on outcomes

One issue with the new voluntary program is that performance measures are still largely process-oriented, he says, as opposed to true outcome measures that create value for the patient.

Some of the commercial bundles Lassen has experience with are more outcomes-based, and he predicts BPCI Advanced or its successors will migrate toward that goal over time.

As an example of the power of outcomes-based measurement, one commercial bundling program Lassen worked with included the use of a provider-created database that tracked multiple participants for spinal procedures for three years, following outcomes.

"At this point, based on that database, they can predict the likelihood of success for a spinal intervention procedure," he says. "That's where we're heading on the commercial side—especially those who can track this data over time with that level of sophistication."

The BPCI Advanced portal closes March 12, so those who want to participate will have to decide their risk appetite and apply quickly, Lassen says.

The next application period won't start until January 2020.

Philip Betbeze

Philip Betbeze is the senior leadership editor at HealthLeaders Media.

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