Bundled Payments for Care Improvement Advanced: Effects on Hospital and CMS Spending, 2018-21

The Bundled Payments for Care Improvement Advanced Model (BPCI-A) aims to reduce hospital spending and generate savings for the Centers for Medicare and Medicaid Services (CMS). The design of BPCI-A evolved across four model years; however, previous analyses have not examined its impact on hospital and CMS spending throughout this period. The research team, including Blueprint Affiliate Peter Hull, conducted a synthetic difference-in-differences analysis with a 100 percent sample of Medicare fee-for-service beneficiary data from the period April 2014 through December 2021 to evaluate spending changes across 883 participating hospitals and 1,772 nonparticipating hospitals.