ED Coding & Reimbursement Alert - 2011 Issue 30
Part B Payment: CMS Unveils Bundled Payments Initiative
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Article Overview
This article explains CMS’s bundled payment initiative for care episodes and places it in the context of earlier demonstration programs. It is relevant to physicians, hospitals, care teams, and coding or reimbursement professionals who want to understand the broad structure of the initiative, the types of models under review, and the participation process.
Why This Topic Matters
Bundled payment programs can affect how services are coordinated, packaged, and paid across an episode of care. Readers involved in reimbursement, practice management, or policy monitoring may need to track the initiative’s structure and participation deadlines.
Article Sections
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CMS Launches Bundled Payments for Care Improvement
Introduces the new CMS initiative and explains its focus on episode-based payment across multiple providers. Summarizes the program’s stated goals and overall approach.
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CMS Looks to Previous Bundled Program for Incentive
Places the initiative in the context of earlier Medicare demonstration efforts and describes the program history that CMS cites as background.
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AMA Supports Trying Out the Model
Summarizes the American Medical Association’s response and the article’s discussion of physician interest, participation, and application timing.
What You Will Learn
- The general purpose of CMS’s bundled payment initiative
- The broad types of care episodes covered by the tested models
- How the initiative relates to earlier Medicare demonstration efforts
- Which organizations commented on the program
- The general application timeline for participation
Who Should Read This
- Physicians
- Hospital administrators
- Medical coders and reimbursement staff
- Practice managers
- Health policy professionals
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