The insurer said it will provide compensation for better care navigation based on quality and cost metrics across various parts of the patient journey ranging from inpatient admissions, ED visits, prescription drugs, diagnostics and radiology.
BPCI Advanced runs from October 1, 2018, to December 31, 2023, and builds on the work of the original BPCI initiative, which wrapped up on September 30, 2018.
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Despite the Trump administration's moves that appear to undermine value-based care, a closer look shows the reality is a bit more complicated.
Many industry experts are expressing doubts about the Amazon/Berkshire/JP Morgan healthcare initiative, but large employers who self-insure their employee benefits have historically been at the forefront of adopting new innovations.