In addition to reducing secondary repayment requirements and removing the 50% cap on the net amount of payment compensation, the amendment resolves uncertainties about the consequences of a participant`s decision to prematurely terminate the BPCI Advanced agreement. Prior to the amendment, cms would impose a one-year waiting period before that participant could reapply to participate in BPCI Advanced if, for whatever reason, a participant decided to terminate the BPCI Advanced agreement prematurely. However, it was not clear whether the one-year waiting period for « replication » is to ask a participant for the summonses to apply with a completely different group of downstream episode initiators. Participants must bear the total financial risk to the CMS on behalf of at least one acute hospital or medical practice and enter into an agreement with a medical practice or acute hospital requiring the medical office or acute hospital to comply with the terms of the BPCI Advanced type agreement. CmS classifies group practices and acute hospitals participating in BPCI Advanced as « downstream episode initiators » responsible for triggering the clinical episode for which the participant is ultimately financially responsible. September 2019: CMS distributes participation agreements for Model Year 3 to selected candidates. BPCI Advanced is an initiative of the CMS Center for Medicare – Medicaid Innovation that aims to increase participation in voluntary bundled payment models.2 BPCI Advanced began for the first cohort of participants on October 1, 2018 and the second cohort will begin on January 1, 2020 with participation for Model Year 3.3, CMS does not expect to submit additional applications for model years 4 (2021) until 6 (2023). This may be the last opportunity for stakeholders to participate in BPCI Advanced as conventers or non-organizers who enter into contracts with CMS. The Centers for Medicare – Medicaid Services (CMS) has issued an amendment to the Advanced Participation Agreement (BPCI) Advanced Participation Agreement (Amendment). The amendments made by the 18-part amendment were largely based on stakeholder input and streamlined aspects of the program and eased the burden on convening participants and non-organizers. If CMS includes the amendment in a revised and revised participation agreement, participants have until October 1, 2019 (or any other date, if the CMS indicates) to accept the terms of this agreement and extend the duration of the agreement until 2022.
The amendment further expanded the opportunities for participants to spread financial risks among their downstream episode initiators and eliminated some administrative burdens associated with cmS refund collection.