21 Mar New CMS Episode Payment Models Delayed
Rocky Edmondson, RN, BSN, MBA, CCRN, Senior Director, Bundled Payments, Care Redesign & Management Advisors, xG Health Solutions, March 21, 2017
Monday, March 20, 2017 brought BIG news from the Centers for Medicare and Medicaid Services (CMS). Yesterday it was announced by CMS that they will:
Delay the start for the new Episode Payment Models (EPMs), including Acute Myocardial Infarction (AMI), Coronary Artery Bypass Graft (CABG), and Surgical Hip and Femur Fracture Treatment (SHFFT).
Also, CMS will be delaying the beginning of the Cardiac Rehabilitation Incentive Payment Model.
The delay of these EPMs changes the start date from July 1, 2017 to October 1, 2017.
CMS will be seeking comments on delaying the Cardiac EPMs until January 1, 2018 in order to allow participants time to be more prepared and to align the start date with the calendar year.
If CMS does decide to delay the start date until January 1, 2018, it would also delay adjustments to CJR until the same date.
The comment period will last for 30 days, and will begin once the revised final rule is entered into the Federal Register, which should take place on March 21, 2017.
It should be noted that the information put forth on Monday by CMS does not eliminate the AMI, CABG, or SHFFT EPMs, but that this should be seen as an opportunity to better prepare for these payment models.
While the CMS has delayed the start date for AMI, CABG, and SHFFT EPMs, this does not delay the progression of other bundled payment programs. Commercial bundled payment programs are gaining momentum, and being seen as a means to improve quality and outcomes while reducing costs. CJR and BPCI continue to progress with organizations experiencing financial gains, while providing higher quality care and improved outcomes for their patients. Now is a good time to evaluate your progress in other bundled payment programs you are involved in and investigate new opportunities.
Take this opportunity to contact Andrew Blackmon at email@example.com and let us help you prepare for the new start date by providing a roadmap to success for these and other bundled payment programs.
To read CMS’ announcement of delaying the new Episode Payment Models, click on the link here.