Dobson|DaVanzo

Dobson | DaVanzo Can Help Assess Performance and Areas for Potential Savings Under the New Radiation Oncology Bundled Payment Model

Friday, October 30, 2020 | by Randy Haught

Tags: Bundled Payment, Radiation Oncology

On September 18, 2020, The Centers for Medicare and Medicaid Services (CMS) finalized the Radiation Oncology Bundled Payment Model and delayed implementation to July 2021. Through our access to Medicare claims data, Dobson | DaVanzo will be developing national and regional benchmarks to help providers assess their current performance and identify areas for potential savings under the new bundled payment model. We can help providers make use of their own CMS provided data by constructing episodes of care and dissecting their historical Medicare payments for various components of radiation therapy episodes as well as the utilization and costs of different treatment modalities.

BPCI Advanced Participation Decisions in March 2019

Monday, March 25, 2019 | by Randy Haught

Tags: Hospitals, BPCI Advanced, Bundled Payment

Last August CMS provided a one-time retroactive opportunity to withdraw in total from the BPCI Advanced program or withdraw selected clinical episodes by March 1, 2019. This grace period allowed participants to “test the waters” between October 2018 and February 2019 before making a final decision. Participants that retroactively withdraw in total or for select clinical episodes are not held accountable for those episodes, meaning that any losses incurred relative to the established target prices will not be charged to the bundler.

BPCI Advanced Grace Period is Coming to a Close

Monday, February 25, 2019 | by Randy Haught

Tags: BPCI Advanced, Bundled Payment

Last August the Centers for Medicare and Medicaid Services (CMS) provided a one-time retroactive opportunity to withdraw in total from the BPCI Advanced program or withdraw selected clinical episodes by March 1, 2019. This grace period allowed participants to “test the waters” between October 2018 and February 2019 before making a final decision. Participants that retroactively withdraw in total or for select clinical episodes will not be held accountable for those episodes. Meaning that any losses incurred relative to the established target prices will not be charged to the bundler.

Modification to the Start of BPCI Advanced

Tuesday, July 17, 2018 | by Randy Haught

Tags: BPCI Advanced, Bundled Payment

The BPCI Advanced program is scheduled to begin on October 1, 2018. Initially, hospital and physician group practice applicants were to make a decision by August 1, 2018 as to whether to participate in the program and to select clinical episode ...

Major Considerations of the BPCI Advanced Program

Monday, June 25, 2018 | by Randy Haught

Tags: BPCI Advanced, Bundled Payment

The BPCI Advanced data provided to applicants by CMS these past several weeks consists of target price workbooks, an episode-level summary data file, and Medicare claims data files by service type (hospital inpatient, hospital outpatient, HHA, SNF, ...

BPCI Advanced Participation Deadline Fast Approaching

Thursday, June 21, 2018 | by Randy Haught

Tags: BPCI Advanced, Bundled Payment

CMS has recently released bundled payment information to acute care hospitals and physician group practices who applied for the program in March of this year, to enable them to decide whether to participate in the new BPCI Advanced program. The ...