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CMS Delays New Bundled Payments, Again

March 21, 2017

The Centers for Medicare & Medicaid Services (CMS) posted notice of its intent to further delay the implementation of new cardiac bundled payment models and the expansion of the existing joint replacement bundle until May 20, 2017. This delay comes after an initial postponement from January 21 to March 21, 2017, as a result of the 60-day regulatory freeze by the Trump Administration.

The additional time is intended to allow the new U.S. Department of Health and Human Services’ (HHS) leadership to review the two bundled payments, and seek comment about possibly delaying the start of the cardiac care and expansion of the joint replacement bundles all the way until January 1.

While the new HHS Secretary Tom Price has been supportive of the transition from payment for the volume of services provided to payment for the value of services provided, he has been particularly critical of programs that are mandatory in nature, or those that may restrict how hospitals and physicians care for their patients.

HAP is hosting a webinar in collaboration with its data analytics partner, DataGen, designed to help hospitals understand Medicare’s new episode payment models and how to look at data under this new reimbursement paradigm.

HAP is continuing to monitor administrative and regulatory activity and will keep Pennsylvania hospitals informed.

Please contact Kate Slatt, senior director, health care finance policy, with any questions.

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