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CMS Makes It Official: Two Mandatory Bundled-Pay Models Are Canceled!

Posted on Friday, December 1, 2017 5:56 PM

CMS finalized plans to cancel two mandatory bundled-payment models and lowered the number of providers who participate in a third.

“Only 34 geographic areas will be required to participate in the Comprehensive Care for Joint Replacement Model, or CJR, according to a rulemaking released Thursday. Initially, 67 geographic areas were supposed to participate.” Since so many hospitals are getting a reprieve, CMS estimates a savings of $189 million instead of the original projection of $295 million. 

CMS also cancelled the Episode Payment Model and the Cardiac Rehabilitation Incentive Payment Model which were slated to begin on January 1, 2018.  “Eliminating these models gives the CMS greater flexibility to design and test innovations that will improve quality and care coordination across the inpatient and post-acute-care spectrum, the agency said.”

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