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3 mandatory bundles will likely be canceled, a 4th scaled back: What you need to know

by Ensocare on Aug 30, 2017

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 the Comprehensive 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 mandatory Surgical 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 mandatory Acute Myocardial Infarction (AMI) and Coronary Artery Bypass Graft (CABG) bundled payment models, also known as the Episode Payment Models (EPMs), which is currently scheduled to begin in 98 metropolitan areas on Jan. 1; and
  • Cancel the Cardiac Rehabilitation (CR) Incentive Payment model, 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.

Read the full article from The Advisory Board

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