Model 3: Retrospective Post-Acute Care Only
Recent Updates:
09/06 - Announced: 09/12 webinar on Models 2-4 application consideration & next steps
06/20 - Online application ICD-9 Code exclusions, important application information now posted. Models 2-4 applications remain due by 5pm ET, June 28, 2012.
05/23 - Updated Application Guidance document posted for Models 2-4 applicants.
Updated September 06, 2012:
Thank you for your continued engagement in Models 2, 3, and 4 of the Bundled Payments for Care Improvement initiative. We have received a very enthusiastic response from providers across the country. Over the last two months we have reviewed the many proposals, which included thousands of episode definitions, identified points of commonality, and considered numerous key policy and operational issues inherent in designing the Bundled Payment model on a sizable scale.
We are now moving to the next stage of this process by convening technical panels to review the applications over the next several weeks. We anticipate contacting candidates recommended by the review panels in early October to share additional information on the work we have done on model definition and other policy and operational issues and to respond to questions.
Over the next several weeks we also will conduct a webinar update and resume learning sessions to take advantage of the great work being done in the private sector around episode-based payment and care redesign. We look forward to working with you, and will make every effort to keep you apprised of our plans in this exciting effort to redesign care through episode payment.
Payment type: Retrospective
In Model 3, the episode of care includes hospital, physician, post-acute provider, and other Medicare-covered services beginning with the initiation of post-acute care services after discharge from an acute inpatient hospital stay. Participants will be permitted to share gains arising from better coordination of care.
How to Apply to Model 3
- Click here for information on how to access the BPCI online application portal. Applicants should submit their Model 3 applications via the online application portal by Thursday, June 28, 2012, 5:00 PM ET.
- The application Guidance document for Models 2-4 (PDF) is designed to offer applicants additional guidance in completing a strong application for the BPCI initiative. The Application Guidance document will clarify various sections of the BPCI online application portal.
- A Letter of Intent (PDF) was due by 5:00 pm ET, November 4, 2011. Letters of intent are non-binding, however an LOI is required to in order to apply to Model 3 of BPCI.
PDF Documents of Model 3 Application Questions
- Model 3 Risk-Bearing Awardee Application (PDF)
- Model 3 Risk-Bearing Awardee Convener Application (PDF)
- Model 3 Non-Risk-Bearing Facilitator Convener Application (PDF)
- Model 3 Risk-Bearing Designated Awardee/Awardee Convener Sub-Proposal (PDF) to be submitted in conjunction with Non-Risk Bearing Facilitator Convener Application
- Online Application Questions and Clarifications - Updated April 6, 2012 (PDF)
- Application Guidance document - Updated May 8, 2012 (PDF)
How to receive and use historical claims data
Organizations may be interested in receiving historical Medicare claims data for use in developing episode definitions for Model 2, 3, and/or 4 of the Bundled Payments initiative. Learn more.