The Lewin Report shares – we may not have the answer yet to medical cost saving, driving quality, and improving outcomes, as noted in the final October 2018 Lewin Report https://downloads.cms.gov/files/cmmi/bpci-models2-4-yr5evalrpt.pdf
BPCI shows saving in post acute care; not in the clinical care pre-acute or acute setting.
BPCI Results:
“Under the BPCI initiative, Medicare payments declined for most clinical episodes and over half of the relative payment reductions were statistically significant,” stated the report by the Lewin Group.
The declines were primarily due to relative reductions in the use of post-acute care (PAC), the report found.
Although BPCI was associated with a decline in episode payments, after considering the reconciliation payments made to participants, BPCI did not result in savings to the Medicare program, the Lewin Group noted.
Results: For the 67 episodes that were analyzed among different BPCI models, participants, and clinical episodes, payments declined for 50 and the change was statistically significant for 27.