BPCI-A Episode Evaluation and Sample Report

ArborMetrix can help you re-evaluate the episodes you selected for BPCI-A Model Year 1, forecast your results, and assist with the important decision of whether to stay in each bundle cohort by the CMS March 1, 2019 deadline.

Through a simple and straightforward risk assessment applying our advanced analytics and data modeling, ArborMetrix can give you a reliable, data-driven estimate of total program size and current savings with probability estimates for your organization’s financial gain or loss in each bundle. With an assessment rooted in data science and advanced analytics, you will make better decisions with BPCI-A and confidently determine your success.

  • Step 1: Connect with us to schedule a briefing session, and a member of our team will reach back out to you within one business day.
  • Step 2: We will host a BPCI-A Briefing Session around your current bundle elections. Here we will identify your top concerns and discuss how our assessment could help address them.
  • Step 3: ArborMetrix will analyze your claims and operational discharge data alongside the BPCI-A target price for each bundle cohort. By using all these sources, we will build a model to predict your current financial performance. By calibrating our model on your data, we can accurately estimate current spend and predict financial gains and/or losses in each bundle.
  • Step 4: You will receive your BPCI-A Episode Evaluation from ArborMetrix, and we will have a second BPCI-A Briefing Session through which you will come away with and understanding of current projected savings and probability of success in each bundle so you can determine which bundles to leave behind before March 1.

Sample BPCI-A Episode Evaluation Report

Background
The BPCI-A Episode Evaluation below for “Memorial Hospital” provides stakeholders an understanding of the current projected savings and probability of success in each bundle selected so decision-makers can determine which bundles to leave behind and to keep before the March 1, 2019 CMS deadline.

Methodology
ArborMetrix analyzes claims, operational, and clinical data alongside the BPCI-A target price for each bundle cohort. By using all three sources, we build a model to estimate future claims based on historic operational and clinical data. By using real data from past performance, we accurately calibrate the model. Comparing this estimate to the known BPCI-A target price, ArborMetrix calculates expected financial win or loss in each bundle.

Sample Report
The tables below provide a glimpse of the types of insights within the BPCI-A Episode Evaluation. Download a PDF version of the sample report

ArborMetrix_BPCIA_Summary_Report

Learn More and Get Started
Successfully participating in BPCI Advanced requires dedicated resources and advanced analytics. With ArborMetrix's performance assessment rooted in data science, you will make better decisions with BPCI-A and confidently determine your success.

Connect with ArborMetrix today to learn more about our performance management and BPCI-A solutions.

Boosting our confidence to accurately evaluate risk

"ArborMetrix provides us with reliable, data-driven insights to clinical and financial performance of our programs, including our performance in value-based programs such as BPCI-A. Their ability to integrate multiple data sources and visualize results has changed the game for us – really boosting our confidence to both accurately evaluate risk and drive increased effectiveness in our clinical operations."
Sound Physicians
President, Sound Physicians

Learn more

For more information on our performance management and BPCI-A solutions, or to get started with a
BPCI-A Episode Evaluation, please contact us today.

Contact Us

For more information about our performance management and BPCI-A solutions, contact us today.

Contact Us