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Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model

Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model

Launched on October 1, 2018, the Bundled Payments for Care Improvement (BPCI) Advanced Model tests whether the linking of payment for a clinical episode may improve care quality while reducing Medicare price.

This month, the Centers for Medicare & Medicaid Services (CMS) announced a 2-year extension of the program, including a new opportunity for applications. Early in 2023, CMS plans to announce a request for application (RFA) to those eligible to participate in the extended years (2024–2025). For those participating in Model Year 6 and those who previously participated but are no longer active, there will be opportunity to apply for Model Year 7 (2024).

Other changes will be made to improve pricing methodology and encourage engagement among providers and suppliers, including:

  • The CMS discount for medical clinical episodes will be reduced from 3% to 2%.
  • The Peer Group Trend Factor Adjustment cap for all clinical episodes will be reduced from 10% to 5%.
  • Major joint replacement of the upper extremity (MJRUE) will be made a multi-setting clinical episode similar to the major joint replacement for the lower extremity (MJRLE) clinical episode.
  • Clinical episodes where beneficiaries are diagnosed with COVID-19 will no longer be excluded from the model.

As CMS continues to strive for better integration of primary and specialty care and cater to an increasingly complex population of beneficiaries, Econometrica is excited to continue our work supporting BPCI Advanced participants in understanding the model’s quality measure submission requirements and their performance in the model. To achieve equitable outcomes, integrated and coordinated care for beneficiaries is essential, and having a health system that is accountable, high-quality, affordable, and person-centered can help achieve that goal.

Please visit the following sites for detailed information on this topic:

Health Care Payment Learning and Action Network Summit on Nov. 9 and 10
Detailed Review for Model Extension and Changes for Model Year 6
Complete Fact Sheet for BPCI Advanced Model
More Detailed Information on BPCI Advanced

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Housing Impacts on Maternal Health

Housing Impacts on Maternal Health

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Housing plays a significant role in infant and maternal health outcomes. From poor housing conditions that lead to negative environmental exposures, to neighborhood conditions that can be unsafe and lead to stress and unhealthy environments, to even the affordability and instability challenges in trying to stay housed and avoid homelessness, housing plays a significant role in the wellbeing of infants and birthing individuals.

To learn more, visit the following resource:

Housing Impacts on Maternal Health

Housing Instability Has an Inverse Relationship with Mental Illness

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July is National Minority Mental Health Awareness Month, and this year, Econometrica is highlighting the intersection between minority mental health and housing stability.

Studies have shown that while housing security contributes to better health and economic stability, housing insecurity is often associated with increased stress and anxiety, exposure to environmental hazards, and lack of access to food and other resources. As a result, housing insecurity has been found to increase a person’s risk for many mental health issues, including depression, suicide, and behavioral issues.

There are also significant racial disparities in housing insecurity, with Black, Hispanic, and other minority households more likely to be housing insecure than White households. Many of the States with the highest rates of housing insecurity—including Mississippi, Louisiana, Texas, and New York—have large minority populations. These disparities have been further exacerbated by the COVID-19 pandemic, during which housing insecurity has risen more dramatically for minority renters than their White counterparts.

These disparities in housing insecurity likely contribute to disparities in mental health outcomes, as housing insecurity intensifies mental ailments among those who are most impacted. Econometrica welcomes any opportunity to assist HUD and other organizations that are supporting minority mental health through secure housing options.

To learn more, visit the following resources:

CDC Provides Guidance on Talking With Parents About COVID-19 Vaccination

VaccineShotPeopleAs the COVID-19 pandemic continues to rage, the Centers for Disease Control and Prevention (CDC) urges everyone ages 5 and older to get vaccinated as soon as possible. More than 543 million doses of COVID-19 vaccine had been given in the United States through February 7, 2022, according to CDC.

Despite the safety of the vaccines, misinformation remains a problem nationwide. CDC provides recommendations for providers on how to answer questions from parents and caregivers about COVID-19 vaccines. Providers remain the most trusted source of information about vaccines.

Small Business Pulse Survey Completes Phase 7

Census SurveyThe U.S. Census Bureau has released the latest data collected through its Small Business Pulse Survey (SBPS), a multi-phasal effort which measures how the COVID-19 pandemic has impacted small businesses across the country. The most recent phase of this study concluded on January 16, 2022.

Beginning in April 2020, SBPS measures the impact of the COVID-19 pandemic across a number of variables, including operating revenues and finances, employee retention and scheduling, changes in operations since March 2020, and measures implemented to slow or prevent the spread of COVID-19 among employees, such as vaccination and testing requirements. Past surveys have asked about the implementation of curbside services, remote work, and loans and other assistance, among others. Impact is measured through self-reported metrics; the Phase 7 questionnaire can be found at https://portal.census.gov/pulse/data/downloads/small-business-pulse-survey-questionnaire_11_15_2021.pdf.

The Census Bureau has made the data collected across all seven phases of the study available on its website at https://portal.census.gov/pulse/data/, allowing for comparisons of responses over time. As of January 16, an average of 23.3 percent of businesses reported a large negative effect on business due to the COVID-19 pandemic, a marked decrease from the original average of 51.4 percent reported the first week of the study (covering April 26 to May 2, 2020). SBPS has further tracked difficulties and delays with suppliers both domestic and foreign since August 2020, shining a light on current trends for businesses and potential pain points in the coming months.

Phase 8 of the survey is tentatively planned to begin in February 2022. Further information on the SBPS may be found at https://www.census.gov/data/experimental-data-products/small-business-pulse-survey.html.