On Tuesday afternoon (August 15) CMS issued a proposed rule that would cancel three mandatory bundled payment programs, significantly roll back a fourth, and cancel a cardiac rehabilitation incentive payment mode. Three Advisory Board experts share their takeways.
Specifically, the rule if finalized would:
Roll back theComprehensive Care for Joint Replacement Model (CJR)bundled payment model, which has been in effect since April 2016, from 67 mandatory geographic regions to 34 mandatory regions;
Cancel the mandatorySurgical Hip and Femur Fracture Treatment (SHFFT)bundled payment model, which is currently scheduled to begin in CJR's 67 regions on Jan. 1;
Cancel the mandatoryAcute Myocardial Infarction (AMI)andCoronary Artery Bypass Graft (CABG)bundled payment models, also known as theEpisode Payment Models (EPMs), which is currently scheduled to begin in 98 metropolitan areas on Jan. 1; and
Cancel theCardiac Rehabilitation (CR) Incentive Paymentmodel, a program designed to incentivize providers in 90 U.S. regions to increase patient utilization of cardiac rehabilitation that is currently scheduled to begin on Jan. 1.