Bundled Payments

News and Advocacy

  • BPCI Advanced Model extended for two years, and will now conclude on December 31, 2025

  • CMMI Announces Major Changes for Model Year 4 (2021) BPCI-A Participants

  • CMS Proposes Changes, Extension of CJR Model

  • NAACOS submits comments on 2020 Proposed CJR Model Rule

  • NAACOS submits comments on the proposed Radiation Oncology Model and ESRD Treatment Choices Model

  • CMS releases final rule cancelling cardiac episode payment models along with technical fact sheet

  • NAACOS sends letter in support of cancellation of Episode Payment Model rule

  • NAACOS letter to CMS details concerns with complexity and lack of data on overlapping APMs

  • NAACOS submits comments to PTAC on the importance of protecting the goals of population health focused delivery models

  • NAACOS outlines concerns regarding ACO overlap with bundled payment models in response to CMS interim final rule delaying new cardiac episodes

  • NAACOS position statement on episode payment models

  • CMS CJR Final Rule Released on Monday, November 16, 2015

  • CMS Releases CJR Fact Sheet 

  • NAACOS Comments on Release of CMS CJR Final Rule 

  • NAACOS Comments on CJR proposed rule 

  • CMS finalizes Episode Payment rule creating new bundled payment model for cardiac services. See the CMS fact sheet on this announcement here.

  • NAACOS submits comments to CMS on their proposed bundled payment rule, which would introduce a new mandatory cardiac bundled payment program, expand the Comprehensive Care for Joint Replacement (CJR) model and discusses a possible future voluntary bundled payment program building off of the Bundled Payments for Care Improvement Initiative (BPCI)

  • NAACOS sends letter to CMS urging caution in implementing new bundled payment initiatives
  • New England Journal of Medicine article When Payment Systems Collide, details concerns about overlap or ACOs and Bundled Payments

  • NAACOS and ACO Community Send Letter to CMS Voicing Concerns about Overlap of Bundles and ACOs 

  • CMS responds to our letter outlining concerns about the overlap of Bundles and ACOs

  • NAACOS response to Wall Street Journal Commentary favoring bundled payment over ACOs 


  • NAACOS Review of 2020 Proposed CJR Rule 

  • NAACOS Medicare ACO-APM Overlap Chart 

  • Understanding BPCI-A and MSSP Reconciliation

  • NAACOS summary of CMS’s BPCI Advanced program

  • NAACOS summary of final rule cancelling cardiac EPMs and making changes to CJR

  • NAACOS Overview of CJR Model 

  • Overview of the CMS proposed rule expanding episode payment models, including a new cardiac bundled payment  

To read more about developments related to Bundled Payments and other key policy issues effecting ACOs, please visit our newsletter page.

 indicates members only resource