The Healthmonix Advisor

Proposed Changes to Bundled Payment Initiatives

Posted by Lauren Patrick on October 16, 2017

CMS has recently lifted requirements for physicians participating in various bundled-payment initiatives. In a Proposed Rule released in August, the Health and Human Services agency proposed canceling the mandatory Episode Payment Models and Cardiac Rehabilitation Incentive payment model, which were scheduled to begin in January. HHS also plans to reduce the number of geographic areas mandatorily participating in the Comprehensive Care for Joint Replacement (CJR) model from 67 down to 34.

Read More

Topics: Bundled Payments

Fundamentals of Bundled Payments

Posted by Lauren Patrick on October 12, 2016

In recent years, the medical industry has seen a host of initiatives for improving the delivery of value-based care, but perhaps the fastest growing of these is the bundled payment model.  CMS has received both praise and criticism for their enthusiastic approach to bundles, but regardless, payment models are clearly changing and providers must stay informed if they want to reap the benefits of these changes.

Read More

Topics: Bundled Payments, Episode Based Payment, MACRA, Medicare