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CMS Finalizes Cardiac & Orthopedic Care Models – Effective July 1

Posted on Friday, January 6, 2017 3:06 PM

On December 20, 2016, CMS rolled out a final rule outlining the new cardiac care models and a new orthopedic care model that will start as early as July 1.

CMS announced this during a press call that they hosted. During the call, the final 1,759-page rule was posted.

The rule encourages as many as 70,000 providers to enter value-based care models.

This would swell the ranks within advanced alternative payment models (APMs) under the Quality Payment Program from 70,000 to 200,000 providers by 2018, CMS Chief Medical Officer Patrick Conway said on the call.

The SHFFT (surgical hip/femur fracture treatment) model is used for providers to treat patients who have a surgical treatment other than replacement after a hip fracture.

In addition, CMS released the following information:
• Updates to the Comprehensive Care for Joint Replacement (CJR) model
• Finalized payment models to support clinicians who treat patients for heart attacks, who perform heart surgery to bypass blocked coronary arteries or who provide cardiac rehabilitation after a heart attack or heart surgery

The cardiac models will be labeled as the following:
• The acute myocardial infarction (AMI) model
• The coronary artery bypass graft (CABG) model
• Cardiac rehabilitation (CR) incentive payment model

For the full article, please see the January 9, 2017 Home Health Line Edition.


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