CMS has finalized a three-year extension to a joint replacement bundled payment model that has driven down the cost of procedures in recent years with the next three-year phase starting on Oct. 1, writes Healthcare Dive.
CMS introduced the Comprehensive Care for Joint Replacement Model in 2016. Participants in the initiative receive a flat set of payments for each episode of care. Procedure costs fell at hospitals paid via CJR, leading CMS to propose extending the initiative by three years and revise aspects of the payment model.
CMS extended the fifth year of the initiative by three months and moved the end of the fifth year back by another six months. Year six will now start on Oct. 1 and run for 15 months.
- Healthcare Dive: https://www.healthcaredive.com/news/cms-finalizes-joint-replacement-pricing-extension/599381/
- CMS-5529-F: Medicare Program: Comprehensive Care for Joint Replacement Model Three-Year Extension and Changes to Episode Definition and Pricing; Medicare and Medicaid Programs; Policies and Regulatory Revisions in Response to the COVID-19 Public Health Emergency