Bpci Quality Measures

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.

Bpci quality measures.

Advanced voluntary bundled payment model. Key milestones and dates bpci advanced builds upon lessons gleaned from current and previous cms models demonstrations and programs. The centers for medicare and medicaid services cms on aug. Bpci advanced qualifies as an advanced alternative payment model under the quality payment program.

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. Composite quality score the acp measure is one component of the bpci advanced composite quality score cqs calculation. All cause hospital readmission measure national quality forum nqf 1789 advance care plan nqf 0326 specific clinical episodes.

The cms innovation center uses the cqs to adjust a portion of any positive total reconciliation amount and any negative total reconciliation amount. The required quality measure list for bpci advanced includes both process and outcome quality measures. The bpci advanced version of this measure uses a one year period. Participation in bpci advanced starts on october 1 2018.

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. In model year 3 the claims data will be collected from january 1 2020 to december 31 2020. The cms innovation center uses the cqs to adjust a portion of any positive total reconciliation amount and any negative total reconciliation amount. 18 released quality measure sets for model year 4 of the bundled payments for care improvement bpci advanced 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.