Articles and Blogs

Episode Payment Models

CMS Final Rule Establishes Significant Changes to Comprehensive Care for Joint Replacement Model

[01/18/17]

Posted on January 18, 2017 in Health Law News

Published by: Hall Render

On December 20, 2016, the Centers for Medicare & Medicaid Services (“CMS”) published a Final Rule that included several changes to the recently implemented Comprehensive Care for Joint Replacement (“CJR”) program. The CJR Model is a retrospective bundled payment program limited to lower extremity joint replacement (“LEJR”) procedures and is designed to encourage hospitals... READ MORE

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CMS Issues Final Rule for New Bundled Payment Models

[01/18/17]

Posted on January 18, 2017 in Health Law News

Published by: Hall Render

Background On December 20, 2016, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule (the “Final Rule”)1 creating three new episode payment models (“EPMs”) covering services provided to Medicare beneficiaries admitted to certain Inpatient Prospective Payment System (“IPPS”) hospitals for heart attacks, coronary bypass surgery or surgical treatment of hip or... READ MORE

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CMS Establishes New Medicare Episode Payment Models

[12/21/16]

Posted on December 21, 2016 in Health Law News

Published by: Hall Render

On December 20, CMS posted for public inspection a final rule establishing three new Episode Payment Models (“EPMs”). Two of the EPMs pertain to cardiac care. The third EPM pertains to orthopedic care.  CMS will officially publish the rule on January 3, 2017. The Cardiac-Related EPMs The first cardiac-related EPM is for episodes of... READ MORE

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