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Research Letter
January 9, 2018

Participation and Dropout in the Bundled Payments for Care Improvement Initiative

Author Affiliations
  • 1Washington University School of Medicine, St Louis, Missouri
  • 2Associate Editor, JAMA
  • 3Brigham and Women’s Hospital, Boston, Massachusetts
  • 4Harvard T. H. Chan School of Public Health, Boston, Massachusetts
JAMA. 2018;319(2):191-193. doi:10.1001/jama.2017.14771

The Centers for Medicare & Medicaid Innovation launched the Bundled Payments for Care Improvement (BPCI) Initiative in 2013,1 a voluntary alternative payment model that holds participating hospitals, practices, or facilities accountable for quality and costs in 30-, 60-, or 90-day episodes of care. Participants can join for as many or as few of 48 eligible conditions as they wish and drop out without penalty. If cost targets are achieved, participants keep a portion of the savings; if cost targets are exceeded, participants reimburse Medicare a portion of the difference.

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