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Making Sense of the BPCI Mock Reconciliation

"Shock and awe" were words that many of our clients used when they received their Bundled Payments for Care Improvement (BPCI) "mock" reconciliation data from the Centers for Medicare and Medicaid Services (CMS) in early May. Some were dismayed at the significant reduction in financial surpluses from those that were expected, while others were alarmed by several apparent policy changes that have been implemented without notice and after contracts were signed. This article will discuss what we expected to see, what we actually saw, what we see as the consequent effects on reconciliation, and where we believe policy changes must be forthcoming.

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