Model 4: Acute Care Hospital Stay Only
Recent Updates:
05/10 - Updated Application Guidance document & Frequently Asked Questions document posted for Models 2-4 applicants.
05/04 - Now accepting applications for this Model. Learn more about how to apply to Models 2-4.
04/27 - The online application will be available the week of April 30, 2012. The applications for Models 2-4 are now due by 5 PM ET, June 28, 2012. Read more about this important application submission information.
Payment type: Prospective
In Model 4, the episode of care includes all services furnished during the inpatient hospital stay. CMS would make a single, prospectively determined bundled payment to the hospital that would encompass all of these services. Physicians and other practitioners would submit “no-pay” claims to Medicare and would be paid by the hospital out of the bundled payment. Participants will be permitted to share gains arising from better coordination of care.
How to Apply to Model 4
- Click here for information on how to access the BPCI online application portal. Applicants should submit their Model 4 applications via the online application portal by Thursday, June 28, 2012, 5:00 PM ET.
- The application Guidance document (PDF) for Models 2-4 is designed to offer applicants additional guidance in completing a strong application for the BPCI initiative. The Application Guidance document will clarify various sections of the BPCI online application portal.
- A Letter of Intent (PDF) was due by 5:00 pm ET, November 4, 2011. Letters of intent are non-binding, however an LOI is required to in order to apply to Model 4 of BPCI.
PDF Documents of Model 4 Application Questions
- Model 4 Risk-Bearing Awardee Application (PDF)
- Model 4 Risk-Bearing Awardee Convener Application (PDF)
- Model 4 Non-Risk-Bearing Facilitator Convener Application (PDF)
- Model 4 Risk –Bearing Designated Awardee/Awardee Convener Sub-Proposal to be submitted in conjunction with Non-Risk Bearing Facilitator Convener Application
- Online Application Questions and Clarifications - Updated April 6, 2012 (PDF)
- Application Guidance document - Updated May 8, 2012 (PDF)
How to receive and use historical claims data
Organizations may be interested in receiving historical Medicare claims data for use in developing episode definitions for Model 2, 3, and/or 4 of the Bundled Payments initiative. Learn more.