Strategies for Optimizing BPCI Advanced Baseline Data

Using Bundled Payments for Care Improvement (BPCI) Advanced can result in an accumulation of baseline data. In the age of technology, data is a goldmine. If you find yourself with three years’ worth of baseline data, you are on your way to enjoying guided decision-making and improved strategies for success. However, these benefits are not readily available, and you must identify ways to optimize your BPCI Advanced baseline data.

This article intends to show you how to analyze BPCI Advanced baseline data for better outcomes.

Analyze All Savings Opportunities at the Condition Level

If you are looking for ways to optimize BPCI Advanced baseline data, the first step is to optimize baseline data collected using the BPCI model to find every episode that checks all the boxes. There is always a saving opportunity at the condition level, and analyzing these opportunities increases your potential to turn the data into usable information.

For example, look at clinical episodes with the highest volume, such as those with more than 100 episodes annually. Focusing on these episodes can help you avoid statistical variability, and your organization can then absorb losses caused by unpredictable high-dollar outlier episodes.

At the same time, pay attention to clinical conditions that reflect a strong savings percentage, especially those conditions that account for more than the expected 3 percent savings as incorporated by the Centers for Medicare & Medicaid Services (CMS).

Single Out Conditions That Have the Most Potential

The data collected from BPCI provides you with access to the right comparative data, which you can then use to benchmark your hospital’s performance. If you are looking for ways to use data analytics to optimize BPCI Advanced baseline data, then comparative data will help you understand how you are doing by helping you identify more saving opportunities and determine if these opportunities are worth pursuing or not.

By analyzing episode volume and spending patterns at a code level, you can understand the case mix per episode volume and then make adjustments by building your findings into the target price methodology.

Make a Careful Comparison of Potential Conditions

Exercise significant caution when using baseline data to preliminary target prices, especially when you intend to determine your hospital’s performance. This process involves education on the different components of the target price and learning how they can affect your organization’s ability to achieve the desired savings. Finally, understand which components can change and how they can affect the target.

Are You Looking for a Payout Opportunity?

The key to earning payouts, both financially and through organizational change, is to be organized and agile in your data analysis and decision-making processes. Guideway Care is here to help you succeed in bundled payment healthcare models, which can often be challenging to navigate. Contact us today to join the program and position yourself for success in improving your performance.