Healthcare News: CMS proposes bundled payment models for cardiac and hip fracture care

October 4th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers CMS’s proposal to develop new bundled payment models for certain cardiac care episodes and to expand hip surgery bundle coverage, with implementation details tied to Medicare fee-for-service payment policy. It is relevant to hospitals, physicians, and health policy stakeholders following CMS model design, target pricing approaches, and related quality payment program participation pathways.

Why This Topic Matters

The proposal could affect how participating hospitals are paid for defined episodes of care and how care coordination, rehabilitation, and recovery efforts are organized. It also matters to providers tracking CMS alternative payment model initiatives and the phased implementation of new Medicare payment models.

What You Will Learn

  • What CMS proposed for bundled payment model development
  • Which broad episode types are included in the proposal
  • How the proposal relates to Medicare payment policy and quality incentives
  • What implementation timing and participation framework were described

Who Should Read This

  • Hospitals
  • Physicians
  • Health system administrators
  • Medical coders
  • Healthcare compliance professionals
  • Health policy analysts

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