CMS Cancels Episode Payment Models

The Center for Medicare and Medicaid Services (CMS) has sent a proposal to the Office of Management and Budget (OMB) to eliminate the Episode Payment Models that were originally slated to begin July 1, 2017, but through several delays, was moved to January 1, 2018.

The proposed rule, titled “Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model” is recommending the three new cardiac care mandatory bundles, along with the new one for non-replacement surgery following a hip fracture be canceled. It is also recommending that the number of geographic areas participating in the current mandatory Comprehensive Care for Joint Replacement (CJR) bundle be decreased from 67 areas to 34. In addition, CMS proposes to allow CJR participants in the 33 remaining areas to participate on a voluntary basis.

As your Rehabilitation Partner, Preferred Therapy Solutions continues to collaborate with your facility.
If you have any questions, please contact Maria Maggi, Vice President of Compliance: