CMS To Cancel Mandatory Cardiac, Expanded Joint Replacement Bundles

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) proposed a rule to the Office of Management and Budget that would stop programs scheduled to launch January 2018. Both cardiac and joint replacement programs were proposed just over a year ago, with an original launch date of July 2017 and were previously delayed. CMS may issue a new rule to continue the Bundled Payments for Care Improvement (BPCI) initiative, a voluntary program that had been scheduled to end in 2018. The new version of BPCI may allow qualification as an Advanced Alternative Payment Model (APM) under the Medicare Access and CHIP Reauthorization Act (MACRA).

Value-Based Bundle Payment Models must be tied to health analytics that use risk stratification and population health metrics. Feel free to email for more information.