Bpci Quality Measures

Bpci advanced qualifies as an advanced alternative payment model under the quality payment program.

Bpci quality measures.

Quality measures the cms innovation center s bpci advanced model rewards health care providers for delivering services more efficiently supports enhanced care coordination and recognizes high quality care. Quality measures background the bundled payments for care improvement bpci advanced model reimburses participants for clinically appropriate services provided to medicare beneficiaries throughout an entire clinical episode using a voluntary bundled payment methodology. Composite quality score the hospital wide all cause unplanned readmission measure is one component of the bpci advanced composite quality score cqs calculation. The centers for medicare and medicaid services cms on july 3 released the quality measure sets for bundled payments for care improvement bpci advanced model year 3 which qualifies as an advanced alternative payment model under the quality payment program.

Composite quality score the acp measure is one component of the bpci advanced composite quality score cqs calculation. The cms innovation center uses the cqs to adjust a portion of any positive total reconciliation amount and any negative total reconciliation amount. In model year 3 the claims data will be collected from january 1 2020 to december 31 2020. All cause hospital readmission measure national quality forum nqf 1789 advance care plan nqf 0326 specific clinical episodes.

The required quality measure list for bpci advanced includes both process and outcome quality measures. The cqs adjustment will not adjust the positive total. Bpci advanced qualifies as an advanced alternative payment model advanced apm under the quality payment program. The hospital level rscr following elective primary tha and or tka measure is one component of the bpci advanced composite quality score cqs calculation.

The cms innovation center uses the cqs to adjust a portion of any positive total reconciliation amount and any negative total reconciliation amount. The bundled payments for care improvement bpci initiative was comprised of four broadly defined models of care which linked payments for the multiple services beneficiaries received during an episode of care. 18 released quality measure sets for model year 4 of the bundled payments for care improvement bpci advanced program. Participation in bpci advanced starts on october 1 2018.

Advanced voluntary bundled payment model.