Evaluating opportunity in the CMMI BPCI program: Comparison of PAC utilization to benchmarks
06 August 2014
The opportunity to reduce Medicare claims cost in the Center for Medicare and Medicaid Innovation’s Bundled Payment for Care Improvement Initiative (BPCI) is typically in the post-acute care (PAC) period. Analyzing the opportunity to reduce Medicare PAC spending requires providers to adopt a payor state of mind—payor tools and approaches will be very helpful. Benchmarking to best practices is one of those tools.
Milliman has developed nationwide average and 10th-percentile benchmarks for PAC periods of 1-30, 31-60, and 61-90 days.