CMS demo will bundle pay for physician and hospital services

Why This Topic Matters

The demonstration could affect how Medicare payment is organized for participating hospital-physician organizations and may influence contracting, care coordination, and reimbursement operations in the selected markets.

Article Sections

1. Demonstration program overview

   Introduces the CMS demonstration and the general payment approach being tested for inpatient services. Summarizes the program timeline and overall purpose.

2. Participation, bidding, and payment administration

   Describes which organizations may apply, how sites are selected, and how payment amounts are determined and processed. Also notes the role of physician-hospital organizations and Medicare administrative contractors.

3. Services included in the demonstration

   Outlines the categories of inpatient surgical services selected for the demonstration. Identifies the broad clinical areas covered and the types of procedures involved.

4. States, expansion plans, and application details

   Lists the participating states and notes possible future expansion of the model. Includes the application deadline and related informational resources.