Many of us in the bundled payment world had barely overcome our surprise at the presidential election results when we heard of the selection of Dr. Tom Price as HHS Secretary. As a component of the much-larger Affordable Care Act, we had hoped that the bundled payment programs would be “under the radar” and might not receive significant attention, at least until later in the administration. But Dr.
Guidance for Healthcare Providers and Purchasers
Leading healthcare data analytics insights:
An overview of the major metrics involved in assessing risk and opportunity in the major joint replacement episodes involved in the Comprehensive Care for Joint Replacement and Bundled Payment for Care Improvement programs, from the point of view of the analytical team, physician leaders, and finance and operations management.
Presented at the National Bundled Payment Summit, Washington DC, June 8 2016
Jonathan W. Pearce, CPA, FHFMA
In July 2016 CMS released a Notice of Proposed Rulemaking (NPRM) of its intent to implement a mandatory bundled payment program for specified cardiology and cardiac surgery services, along with several other programs. These Episode Payment Models (EPMs) will begin in July 2017 for almost all hospitals located in 98 selected metropolitan statistical areas (MSAs).