BPCI Update: Second Cohort Application Period to Start in April, CMS Announces Participants Leaving First Cohort

The Centers for Medicare and Medicaid Services (CMS) will open the application period for Model Year 3 of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model in April 2019. This second cohort will start on January 1, 2020. Currently, CMS does not intend to have additional enrollment periods for Model Year 4 (2021) or Model Year 5 (2022). New applications must be submitted via the BPCI Advanced Application Portal.

More information is available here.

Over 830 acute care hospitals and 715 physician group practices signed up to participate in BPCI Advanced in October 2018, bringing the total number of Medicare providers and suppliers in the program to 1,547. CMS recently announced that 252 participants have dropped out of the program.

CMS gave providers until March 1, 2019, to decide if they want to continue participating in the advanced bundled payments model. Initial participants could terminate their participation completely or withdraw some of their clinical episodes or episode initiators by the deadline without any penalty.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459/smadhani@mcdermottplus.com or Mara McDermott at 202-204-1462/mmcdermott@mcdermottplus.com.