CMS rolls back joint replacement program, jettisons planned episode payment models

Why This Topic Matters

The proposal could change which hospitals must participate in bundled payment initiatives and alter how joint replacement care is organized and paid for under Medicare. It also has implications for providers evaluating voluntary versus mandatory alternative payment models and related quality program participation.

Article Sections

1. Proposed cancellation of mandatory episode payment models

   Overview of the episode payment models CMS proposed to отменить and the broader policy context for the changes.

2. Changes proposed for the Comprehensive Care for Joint Replacement program

   Discussion of the planned adjustments to the joint replacement bundled payment program, including participation and geographic scope.

3. Additional program tweaks and Medicare policy context

   Summary of related proposed adjustments tied to telehealth and alternative payment model participation, along with background on the agency’s timing and rationale.

4. Payment variation and affected geographic areas

   General discussion of how payment amounts and market variation relate to the continuing mandatory areas under the program.