On December 20, 2016, the U.S. Centers for Medicare/Medicaid Services (CMS) published a final rule for the Advancing Care Coordination through Episode Payment Models (EPM). The model is effective for episodes that start on or after July 1, 2017, and end by December 31, 2021. The final rule implements three distinct EPMs focused on episodes of care for AMI (Acute Myocardial Infarction), CABG (Coronary Artery Bypass Graft), and Surgical hip/femur fracture treatment (SHFFT) excluding lower extremity joint replacement. AMI, CABG, or SHFFT model episodes begin with an inpatient admission to a participant hospital. Episodes end 90 days after the date of inpatient discharge from a participant hospital. Episodes include the inpatient stay and all related care covered under Medicare Parts A and B during the 90 days post discharge. The start date is July 1, 2017, with a duration of five program years.
This webinar is designed to help hospitals understand Medicare’s new EPMs and how to look at data under this new reimbursement paradigm. Webinar participants will also have a chance to ask questions of HAP staff and our expert partners from DataGen.
While the EPMs are not mandatory for all Pennsylvania hospital (nearly 40% are impacted by at least one EPM), this webinar is beneficial to every hospital because it will help you understand your episode costs and patterns compared to your region. It will also provide useful insights into how Medicare is advancing care coordination through episode payment models.
The primary faculty for the webinar will be EPM subject matter experts from HAP’s data analytics partner, DataGen. DataGen is a subsidiary of the Healthcare Association of New York State (HANYS) and contracts with 47 state hospital associations and eight multi-state health systems to research and analyze the financial impact of regulatory and legislative changes on Medicare reimbursement to hospitals and health systems.
Make plans to attend this learning session to ensure that your hospital is doing everything it can to improve its chances for success.