Friday, August 26, 2016

10 things to know about CMS' new mandatory cardiac bundle

1. The new bundled payment models apply to cardiac care and extend the existing CJR model to include hip and femur fractures

2. The bundle makes hospitals accountable for the cost and quality of care provided during the inpatient stay and for 90 days after discharge

3. Hospitals will be chosen from 98 randomly-selected metropolitan statistical areas for the cardiac bundling program

4. Under the proposed rule, the bundles are set to begin on July 1, 2017

5. Hospitals would receive quality-adjusted target payments for each episode of care

6. At the end of each performance year, hospitals that meet quality standards can earn additional payments based on cost

7. The proposed rule also includes a model to test cardiac rehabilitation services

8. CMS said the cardiac bundle, as well as the CJR bundle, could qualify as Advanced Alternative Payment Models in 2018 under the Medicare Access and CHIP Reauthorization Act

9. Additionally, the proposed rule indicates that CMS plans to build on its Bundled Payments for Care Improvement Initiative

10. CMS is taking feedback on the proposals for 60 days, until September 24





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