CMS Cancels Two Bundled Payment Models & Announces More Voluntary Bundles
On November 30, 2017, the Centers for Medicare and Medicaid Services (“CMS”) canceled mandatory hip fracture and cardiac bundled payment models and implemented changes to the Comprehensive Care for Joint Replacement (“CJR”) model.
The number of mandatory geographic areas participating in CJR has been reduced from sixty-seven (67) to thirty-four (34) areas. CMS is also making participation in the CJR model voluntary for all low volume and rural hospitals within the 34 mandatory geographic areas.
In the CMS announcement, CMS Administrator, Seema Verma indicated that CMS would be announcing new voluntary payment bundles in the future. Ms. Verma stated, “[w]hile CMS continues to believe that bundled payment models offer opportunities to improve quality and care coordination while lowering spending, [CMS] believe[s] 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.”
©2023 Carlton Fields, P.A. Carlton Fields practices law in California through Carlton Fields, LLP. Carlton Fields publications should not be construed as legal advice on any specific facts or circumstances. The contents are intended for general information and educational purposes only, and should not be relied on as if it were advice about a particular fact situation. The distribution of this publication is not intended to create, and receipt of it does not constitute, an attorney-client relationship with Carlton Fields. This publication may not be quoted or referred to in any other publication or proceeding without the prior written consent of the firm, to be given or withheld at our discretion. To request reprint permission for any of our publications, please use our Contact Us form via the link below. The views set forth herein are the personal views of the author and do not necessarily reflect those of the firm. This site may contain hypertext links to information created and maintained by other entities. Carlton Fields does not control or guarantee the accuracy or completeness of this outside information, nor is the inclusion of a link to be intended as an endorsement of those outside sites.