Examining Medicare's Bundled Payments For Care Improvement Advanced
Model
 â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â
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Friday, December 2, 2022 | The Latest Research, Commentary, And News
From Health Affairs
Dear John,
Today is the last day to take advantage of the 40th anniversary special
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until 11:45 PM ET. Use promo code 40for40 and choose 40% off a
digital-only subscription to Health Affairs, an Insider membership, or
an Unlimited membership.
Alternative Payment Methods
Medicare's Bundled Payments for Care Improvement Advanced Model
(BPCI-A) is a voluntary Alternative Payment Model in which participating
hospitals or physician groups are held accountable for the costs and
outcomes of ninety-day episodes of care.
In the November 2022 issue of Health Affairs, Karen Joynt Maddox and
coauthors assess whether high-risk patients were more likely than
non-high-risk patients to suffer adverse selection
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increased costs, or worsening clinical outcomes at BPCI-A-participating
hospitals compared with comparison hospitals in the first year of
BPCI-A.
Despite concerns that Alternative Payment Models may incentivize
providers to avoid high-risk patients, Joynt Maddox and coauthors do not
find evidence of negative impacts of BPCI-A among Medicare beneficiaries
with frailty, those with multimorbidity, or those dually enrolled in
Medicare and Medicaid.
"It is reassuring that we did not see increases in readmission or
mortality rates or reductions in healthy days at home for high-risk
groups, although mortality and healthy days at home should be considered
exploratory because they were secondary endpoints," they conclude.
Read More
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Elsewhere At Health Affairs
Today on Forefront, US Department of Health and Human Services Secretary
Xavier Becerra and coauthors discuss the recently-released HHS Roadmap
for Behavioral Health Integration
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which addresses the numerous barriers to integrated and equitable access
to behavioral health services in the health care system.
David Muhlestein and coauthors provide their annual update on
Accountable Care Organization (ACO) growth
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writing that they expect continued financial tightening and movement
toward downside risk, more incentives for ACOs, and more.
Enjoying Forefront <[link removed]> articles?
Bookmark our website to never miss an update.
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Tackling Bias In Health Care Algorithms
California Attorney General Rob Bonta is investigating hospitals'
software algorithms to help identify potential racial biases in the
systems. Listen to Health Affairs' Jessica Bylander and Rob Lott discuss
the background and research behind racial biases in health care
algorithms.
Listen Here
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Daily Digest
Medicare's Bundled Payments For Care Improvement Advanced Model:
Impact On High-Risk Beneficiaries
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Karen E. Joynt Maddox et al.
Growth Of Value-Based Care And Accountable Care Organizations In 2022
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David Muhlestein et al.
Addressing The Nation's Behavioral Health Crisis: An HHS Roadmap to
Integrate Behavioral Health
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Xavier Becerra et al.
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mailto:
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About Health Affairs
Health Affairs is the leading peer-reviewed journal
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health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org <healthaffairs.org>, Health Affairs Today
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Update <[link removed]>. Â
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.
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