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Value Based Care

On January 9, 2018, CMS/CMMI announced their new Bundled Payments for Care Improvement Advanced (BPCI Advanced ).  This new model encompasses 32 different Clinical Episodes (including 3 outpatient procedures) and will examine the costs of care for these from the initiation of treatment and the ensuing 90 days. In accordance with their previous directive, CMS has stated participation in this payment plan will be voluntary and it qualifies as an advanced APM. The program will allow both hospital and PGP participants. The deadline for applications is March 12, 2018. An additional window to apply will open in January 2020. The program is set to run until December 31, 2023.


The AAMC hosted a webinar on February 8, 2018, to review BPCI Advanced. The webinar recording and slides are available here. More information on the program can be found here on the CMS BPCI Advanced website. The AAMC remains committed to supporting the implementation efforts of academic medical centers engaged in alternative payment models. For questions regarding BPCI Advanced, or on how the AAMC will be supporting AMCs and health systems, please email the AAMC Alternative Payment team at


CMS released the final rule "Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model." The AAMC hosted a webinar discussing the major provisions of the rule. The recording and slides can be found here. More information on the program can be found here.

The AAMC Alternative Payments (AP) Unit was formed in 2012, when the AAMC became a facilitator convener in the Bundled Payments for Care Improvement (BPCI) initiative. Since then, the AP Unit has worked to support the abilities of academic medical centers (AMCs) to adapt and thrive under alternative models of payment, as measured by the AMCs’ success in managing cost and improving quality. As part of this effort, the AP Unit offers learning collaboratives that provide advocacy support, data and policy analyses, project management services, and facilitated webinars, conference calls, and small-group learning for member AMCs.

The AP Unit currently offers targeted support for AMC members in three bundled payment programs:

The AAMC has developed resources to help member institutions with the MACRA transition. These resources provide specific information for large-multi specialty group practices planning to report as groups under the new quality payment program. Furthermore, these resources include FAQs, checklist to prepare for MACRA, detailed info on group reporting requirements, and webinars and much more. Please note that some of the resources require your AAMC login information. All of our MACRA resources are available on our website at