Medicare Further Delays New Bundled Payment Models

Well, you saw this coming: The Centers for Medicare & Medicaid Services (CMS) has further delayed the start of some Medicare bundled payment programs until Jan. 1, 2018.

The programs, an expansion of the Comprehensive Care for Joint Replacement (CCJR) program and two new cardiac care programs, were initially set to begin July 1. 

If you’ve been paying attention, you remember that CMS in March proposed the Jan. 1 delay to give participants time to understand the rules and to adjust to any potential changes.

As part of that proposal, CMS opened up a 30-day window for comments. During that time, they received 47 comments (more than one a day!), most of which supported the Jan. 1 start date. The decision to delay was made in mid-May.

Under the Comprehensive Care for Joint Replacement program, which began last year as a pilot project in 67 metropolitan areas, all related care for hip and knee replacements within 90 days of hospital discharge is included in the episode of care. CMS had planned to expand that to include surgical hip and femur fracture treatment and recovery in those same 67 metropolitan areas, including Austin-Round Rock, Beaumont-Port Arthur, Corpus Christi, Killeen-Temple, Lubbock, and Tyler.

The Acute Myocardial Infarction Model and the Coronary Artery Bypass Graft Model were set to begin July 1 in 98 metropolitan areas, including Abilene, Austin-Round Rock, Dallas-Fort Worth-Arlington, and Sherman-Denison. The Cardiac Rehabilitation Incentive Payment Model, also initially expected to start July 1, would test financial incentives for the use of cardiac rehabilitation in 90 regions, including Abilene, Corpus Christi, Dallas-FortWorth-Arlington, and Waco. 

Action, June 1, 2017

Last Updated On

June 01, 2017

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