BPCI Model 3: Retrospective Post Acute Care Only

The Bundled Payments for Care Improvement (BPCI) initiative is comprised of four broadly defined models of care, which link payments for the multiple services beneficiaries receive during an episode of care. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality and more coordinated care at a lower cost to Medicare. For more information on the background of this initiative, various types of models, or details on episodes of care, visit BPCI Initiative: General Information.

Select anywhere on the map below to view the interactive version BPCI Model 3 Mapped

There are 1,353 participants/awardees involved in the BPCI Model 3: Retrospective Post Acute Care Only. Many participants/awardees comprise numerous sites and can be accessed as a (List).
To view an interactive map of this Model, visit the Where Innovation is Happening page.

Background

Model 3 involves a retrospective bundled payment arrangement where actual expenditures are reconciled against a target price for an episode of care. Under this model, Medicare continues to make fee-for-service (FFS) payments to providers and suppliers furnishing services to beneficiaries in Model 3 episodes. The total expenditures for a beneficiary’s episode is later reconciled against a bundled payment amount (the target price) determined by CMS. A payment or recoupment amount is then made by Medicare reflecting the aggregate performance compared to the target price. In Model 3, the Episode of Care is triggered by a Medicare beneficiary’s acute care hospital stay and begins at initiation of post-acute care services with a participating skilled nursing facility, inpatient rehabilitation facility, long-term care hospital or home health agency. The post-acute care services included in the episode of care must begin within 30 days of discharge from the inpatient stay and end 30, 60, or 90 days after the initiation of the episode of care. Participants can select up to 48 different clinical condition episodes to test in the model. For more information on the other models, visit the BPCI Initiative: Model 1 web page, BPCI Initiative: Model 2 web page, or BPCI Initiative: Model 4 web page.

On January 31, 2013, the first cohort of BPCI participants was announced. By October 1, 2013, some BPCI participants entered into Awardee Agreements with CMS, at which point they began bearing financial risk. In November 2013, CMS offered a second Open Period for current Awardees to add additional Episode Initiators or clinical episodes in BPCI Model 3. The second cohort of participants began their performance period on January 1, 2014. CMS offered a third Open Period in February 2014 seeking additional organizations to participate in BPCI Model 3. The Open Period ended on April 18, 2014, and resulted in many new participants joining BPCI initiative through the summer and fall of 2014. Additional cohorts began on January 1, April 1, and July 1, 2015.

Model 3 Awardees

As of July 1, 2015, BPCI Model 3 has 1353 participants in Phase 2. The 1353 participants are comprised of 135 Awardees and 1218 Episode Initiators involved in care redesign. For Model 3, “Episode Initiator” means a post-acute care provider or a physician group practice that triggers an episode of care. The breakdown of participants by provider type is as follows: Skilled Nursing Facilities (1071), Home Health Agencies (101), Inpatient Rehab Facilities (9), Physician Group Practices (146), and Long-Term Care Hospitals (1). Some Awardees are not initiating episodes in BPCI and therefore are not included in the breakdown of participants by provider type.

The information below represents current BPCI Model 3 Awardees as of July 1, 2015 which are actively testing BPCI in Phase 2 at one or more episode-initiating sites:

  • Access Innovations LLC ( Worthington, OH)
  • Advanced Home Care (High Point, NC)
  • Assure Home Healthcare, Inc. (Skokie, IL)
  • Atlantic Memorial Healthcare Center (Long Beach, CA)
  • Avamere Health Services (Wilsonville, OR)
  • Belair Nursing & Rehabilitation Center (Bellmore, NY)
  • Bella Vita Health and Rehabilitation Center (Glendale, AZ)
  • Boulevard Temple Care Center (Detroit, MI)
  • Brooks Health System (Jacksonville, FL)
  • Camelback Post Acute Care and Rehabilitation (Phoenix, AZ)
  • Catalina Post Acute and Rehabilitation (Tucson, AZ)
  • Cathleen Naughton, Inc. dba Cathleen Naughton Associates, Inc. (Providence, RI)
  • Celtic Healthcare, Inc. (Mars, PA)
  • Chatsworth at Wellington Green, LLC (Palm Beach Gardens, FL)
  • Copper Ridge Health Care (West Jordan, UT)
  • Coronado Healthcare Center (Phoenix, AZ)
  • Covenant Health, Inc. (Tewksbury , MA)
  • Desert Terrace Healthcare Center (Phoenix, AZ)
  • Diversicare Doctors, LLC (Dallas, TX)
  • Diversicare Humble, LLC (Humble, TX)
  • Diversicare of Big Springs, LLC (Huntsville, AL)
  • Diversicare of Providence, LLC (New Albany, IN)
  • Diversicare of Seneca Place, LLC (Louisville, KY)
  • Diversicare of Smyrna (Smyrna, TN)
  • Evolution Health, LLC (Dallas, TX)
  • Franciscan Village (Lemont, IL)
  • Genesis Care Innovations LLC (Kennett Square, PA)
  • Glenwood Care Center (Oxnard, CA)
  • Golden Living (GGNSC Administrative Services, LLC) (Washington, DC)
  • Good Samaritan Society – Ambassador (New Hope, MN)
  • Good Samaritan Society - Luther Manor (Sioux Falls, SD)
  • Good Samaritan Society – Maplewood (St Paul, MN)
  • Good Samaritan Society - Sioux Falls Center (Sioux Falls, SD)
  • Good Samaritan Society - Sioux Falls Village (Sioux Falls, SD)
  • Good Samaritan Society - Specialty Care Community (Robbinsdale, MN)
  • Harlingen Healthcare, Inc. (Harlingen, TX)
  • Hartford Nursing & Rehab Center (Detroit, MI)
  • HCF of Shawnee, Inc.  dba Shawnee Manor (Lima, OH)
  • Healthsouth Bundling Initiatives, LLC (Birmingham,  AL)
  • Home Health VNA (Lawrence, MA)
  • Homefront Health Care (Providence, RI)
  • Horizon Home Health (Meridian, ID)
  • Horizon Post Acute and Rehabilitation Center (Glendale, AZ)
  • Huntington Hills Center For Health & Rehabilitation (Melville, NY)
  • Illinois Bone & Joint Institute, LLC (Des Plaines, IL)
  • Jupiter Medical Center Pavilion (Jupiter, FL)
  • Keystonecare Home Health, LLC (Wyndmoor, PA)
  • Kindred Healthcare (Louisville, KY)
  • Kith Haven (Flint, MI)
  • Legacy Health Services (Parma, OH)
  • Liberty Health Partners LLC (Mercer Island, WA)
  • Lutheran Social Services of Michigan (Detroit, MI)
  • Management & Business Associates, Inc. (San Antonio, TX)
  • Marycrest Manor (Livonia, MI)
  • McLean County Orthopedics, Ltd. (Bloomington, IL)
  • Mercy Health Home Care, Grand Rapids (Grand Rapids, MI)
  • Mercy Home Care - Sisters of Providence Health System (West Springfield, MA)
  • Mercy Home Care, Sioux City (Sioux City, IA)
  • Midwest Orthopaedic Consultants, S.C. (Orland Park, IL)
  • Mission Care Center (Rosemead, CA)
  • Montecito Post Acute Care and Rehabilitation (Mesa, AZ)
  • National Healthcare Corporation (Murfreesboro, TN)
  • North Mountain Medical and Rehabilitation Center ( Phoenix, AZ)
  • Oak Park Nursing and Rehab Center LLC (Madison, WI)
  • Optum (Franklin, TN)
  • Orem Rehabilitation and Nursing Center (Orem, UT)
  • Osborn Health and Rehabilitation (Scottsdale, AZ)
  • PA Holdings - SNF, L.P. (Timonium, MD)
  • Pacific Care and Rehabilitation (Hoquiam, WA)
  • Panorama Gardens Nursing and Rehabilitation (Panorama City, CA)
  • Park Avenue Health and Rehabilitation (Tucson, AZ)
  • Park Manor Rehabilitation Center (Walla Walla, WA)
  • Park View Post Acute (Santa Rosa, CA)
  • Parker Jewish Institute for Health Care and Rehabilitation ( New Hyde Park, NY)
  • Peak Resources – Charlotte (Cary, NC)
  • Penacook Place, Inc. (Haverhill, MA)
  • Personal Home Care of North Carolina, LLC (Charlotte, NC)
  • Plum Healthcare Group, LLC (San Marcos, CA)
  • Post Acute Care Network, LLC (Cincinnati, OH)
  • Premier Health and Rehabilitation, LLC (North Little Rock, AR)
  • Presbyterian Homes in the Presbytery of Lake Erie (1) (Erie, PA)
  • Presbyterian Homes in the Presbytery of Lake Erie (2) (Erie, PA)
  • Presbyterian Medical Center of Oakmont, Incorporated (Oakmont, PA)
  • Presbyterian Medical Center of Washington, Incorporated (Washington, PA)
  • Redmond Care and Rehabilitation Center (Redmond, WA)
  • Regency at Waterford (Waterford, MI)
  • Regency Heights-Detroit (Detroit, MI)
  • Remedy BPCI Partners, LLC (Darien, CT)
  • Riverside Health & Rehabilitation Center (East Hartford, CT)
  • Rosewood Rehabilitation Center (Reno, NV)
  • Sabino Canyon Rehabilitation and Care Center (Tucson, AZ)
  • Saint Antoine Residence (North Smithfield , RI)
  • Saint Elizabeth Home (East Greenwich, RI)
  • Saint Elizabeth Manor (Bristol, RI)
  • Saint Mary Home (West Hartford, CT)
  • Sancta Hospital dba Sancta Maria Nursing Facility (Cambridge, MA)
  • Sanctuary at Bellbrook (Rochester Hills, MI)
  • Sanctuary at Fraser Villa (Fraser, MI)
  • Sanctuary at Holy Cross Burtonsville (Burtonsville, MD)
  • Sanctuary at Holy Cross Indiana (South Bend, IN)
  • Sanctuary at McAuley (Muskegon, MI)
  • Sanctuary at St. Paul's (South Bend, IN)
  • Sanctuary at the Park (Muskegon, MI)
  • Sanctuary at the Shore (Grand Haven, MI)
  • Sanctuary at White Lake (White Lake, MI)
  • Sands Point Center for Health & Rehabilitation (Port Washington, NY)
  • Sante Partners II, LLC (Scottsdale, AZ)
  • Scandinavian Home, Inc. (Cranston, RI)
  • SHC LP Holdings, LLC (Louisville, KY)
  • Signature Holdings II, LLC (Louisville, KY)
  • Sloan's Lake Rehabilitation Center (Denver, CO)
  • Southland Care Center (Norwalk, CA)
  • St. Anthony Home (Crown Point, IN)
  • St. Clare Home for the Aged (Newport, RI)
  • St. Joseph of the Pines (Southern Pines, NC)
  • St. Joseph Villa ( Salt Lake City, UT)
  • Steere House Nursing & Rehabilitation Center (Providence, RI)
  • Stillhouse Rehabilitation and Healthcare Center (Paris, TX)
  • Stone Gate Senior Living, LLC (Lewisville, TX)
  • Sunview Health and Rehabilitation Center (Youngtown, AZ)
  • THA Services, Inc. dba THA Group (Savannah, GA)
  • The Peaks (Flagstaff, AZ)
  • The Pines at Poughkeepsie Center for Nursing & Rehabilitation (Poughkeepsie, NY)
  • The Springs at Pacific Regent La Jolla (San Diego, CA)
  • The Village (Missoula, MT)
  • Timberwood Nursing and Rehabilitation Center (Livingston, TX)
  • Ukiah Post Acute (Ukiah, CA)
  • Victoria Care Center (Ventura, CA)
  • Villa Saint Joseph of Baden, Incorporated (Baden, PA)
  • Visiting Nurse Services of Newport and Bristol Counties (Portsmouth, RI)
  • Vista Knoll Specialized Care Facility (Vista, CA)
  • Westchester Gardens (Clearwater , FL)
  • Willowbend Nursing & Rehabilitation Center (Mesquite, TX)
  • Willowbrook Manor (Flint, MI)
  • Wilmac Health Care, Incorporated (York, PA)

Convening organizations that bring together multiple health care providers but are not Awardees or Episode Initiators:

  • CareLink Inc. (Providence, RI)
  • Ciena Healthcare (Southfield, MI)
  • Covenant Health, Inc. (Tewksbury, MA)
  • Ensign Service, Inc. (Mission Viejo, CA)
  • Franciscan Sisters of Chicago Service Corporation (Homewood, IL)
  • Illinois Bone & Joint Institute, LLC (Des Plaines, IL)
  • Mid-Atlantic Health Care (Timonium, MD)
  • The Evangelical Lutheran Good Samaritan Society (Sioux Falls, SD)
  • The Goodman Group, LLC (Chaska, MN)
  • Trinity Health Corporation (Livonia, MI)

Additional Information