KHP Continues Bundled Payment Programs

Because of success with bundled payments, KHP and KentuckyOne Health are continuing with the episode program. Earlier this year, the KentuckyOne team was included in the national CAPG 2017 Case Studies of Excellence documenting our work to accelerate improvements in orthopedic care management, patient satisfaction and 90-day costs. Along with CHI, KHP is examining the recently announced voluntary Bundled Payments for Care Improvement (BPCI) Advanced program that will begin later in 2018.

KentuckyOne Health and CHI have successfully managed an array of voluntary episodes across the country. In fact, CHI is a national leader in value based care with clinically integrated networks like KHP in eight states, managing more than 760,000 contracted lives, equating to more than $4 billion of annual medical spend. More important than the size of this effort, our organization is most proud of the improved patient care outcomes and patient satisfaction derived from these integrate care management programs.

BPCI Advanced will offer bundled payments for 32 clinical episodes and align incentives for participating health care providers to reduce costs and improve quality of care for Medicare beneficiaries. BPCI Advanced will qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program.BPCI Advanced will kick off on October 1, 2018, and the performance period will run through December 31, 2023. CMS will provide a second application opportunity in January 2020.

More integrated and more effective value based care is here to stay. KHP will continue monitoring new opportunities as they develop and will continue supporting these innovations in the Kentucky market.