Bundled Payment Care Improvement (BPCI), a key component of the value-based payment programs proposed in the Affordable Care Act of 2010, is proving to be a viable methodology
for providing high quality patient care at a more affordable price. CMMI (Centers for Medicare and Medicaid Innovation) is two-plus years into piloting the four models proposed within BPCI. CMS has already implemented one mandatory five-year bundle - total joint arthroplasty - in many areas of the country and more are expected. This important work cannot be accomplished without significant collaboration between clinicians and the IT/EHR teams. We'll share our experiences and lessons learned (Lahey Health is now at financial risk with five bundles as of 10/1/15), the work we've accomplished incorporating BPCI-related functionality into our EHR to date, and our next steps toward a longitudinal medical record across an episode of care.