CMS finalizes CJR adjustments — 5 insights

Practice Management

CMS finalized the Comprehensive Care for Joint Replacement Model changes Nov. 30.

Here are five insights:

 

1. The final rule cuts down the number of mandatory geographic areas from 67 to 34 for the CJR.

 

2. CMS-reported participation will be voluntary for low-volume and rural hospitals in the 67 geographic areas.

 

3. The new regulation has an Interim Final Rule with Comment Period, during which CMS will consider episode costs for hospitals "impacted by extreme and uncontrollable circumstances, such as the major hurricanes of 2017."

 

4. Additionally, CMS officially cancelled the mandatory hip fracture and cardiac bundled payment model set to begin Jan. 1, 2018.

 

5. CMS will craft future bundled payment programs as voluntary initiatives as opposed to large mandatory models.

 

"While CMS continues to believe that bundled payment models offer opportunities to improve quality and care coordination while lowering spending, we believe that focusing on developing different bundled payment models and engaging more providers is the best way to drive health system change while minimizing burden and maintaining access to care. We anticipate announcing new voluntary payment bundles soon," said CMS Administrator Seema Verma.

 

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