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AHA, FAH Request Comment Period Extension for Proposed Mandatory Bundled Payment Model
The AHA and FAH comments on the Transforming Episode Accountability Model (TEAM) proposals in the Centers for Medicare & Medicaid Services’ (CMS) inpatient prospective payment system (PPS) proposed rule for fiscal year (FY) 2025.
CMS Finalizes Changes to Hip and Knee Bundled Payment Program
The Centers for Medicare & Medicaid Services (CMS) April 29 issued a rule finalizing changes to the Comprehensive Care for Joint Replacement (CJR) model, which bundles payment to acute care hospitals for hip and knee replacement surgery. Under this model, hospitals in which a joint replacement has taken place are held financially accountable for episode quality and costs.
AHA to CMMI: Changes to the Bundled Payments for Care Improvement Advanced Program
AHA urges CMMI to reconsider sudden changes to the Bundled Payments for Care Improvement Advanced model effective Jan. 1, especially the move to clinical episode service line groups.
AHA Comments on CMS’s Proposed Radiation Oncology Model
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ specialty care models proposed rule, and specifically on the radiation oncology (RO) model. As described in the proposed rule, the RO model would test whether prospective, bundled payments for 90-day radiotherapy (RT) episodes of care would reduce Medicare spending while preserving or improving the quality of care for Medicare beneficiaries.
Bundled Payments: Market Trends and Markers of Success
Bundled payments have emerged as a reimbursement method that supports health care providers’ efforts to redesign care and improve outcomes for specific patient populations and clinical episodes of care. They offer financial incentives for various providers to work with each other and patients to deliver care in a more coordinated manner.
CMS Cancels, Scales Back Bundled Payment Models
The CMS Nov. 30 issued a final rule cancelling the cardiac and surgical hip and femur fracture treatment bundled payment models.
AHA Special Bulletin: White House Releases FY 2019 Budget Request with Medicare, Medicaid Reductions
President Trump today submitted to Congress his budget request for fiscal year (FY) 2019.
AHA Comments to CMS on Bundled Payments for Care Improvement Advanced Model
The AHA requests additional information and a delay in implementation of the Centers for Medicare & Medicaid Services’ Bundled Payments for Care Improvement Advanced Model (BPCI Advanced) announced on Jan. 9.
AHA comments on delayed effective date for CMS's Cardiac and Comprehensive CJR Bundled Payment Model
CMS proposes to cancel new cardiac bundle, expansion of hip/knee bundle, and scale back CJR
CMS Aug. 15 proposed to cancel the cardiac and surgical hip and femur fracture treatment (SHFFT) bundled payment models. Details of the proposed rule follow.