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CMS finalizes rule for joint-replacement bundled-payment tests

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The CMS has finalized a rule to require hospitals in 67  areas, including Los Angeles and New York City, to participate in a test of bundled payments for hip and knee replacements.

Modern Healthcare reported that   the Comprehensive Care for Joint Replacement Payment Model, had been planning to require hospitals in 75 regions to participate in the new model. However, the  agency deleted eight regions in order to exclude those with too few total joint-replacement cases not already covered under the similar but voluntary Bundled Payments for Care Improvement (BPCI) initiative, the publication reported.

The much higher estimate is attributed to technical changes to the model outlined in the final rule, as well as updates to the data used to determine the impact of the rule.

Another mandatory bundle-payment initiative is the Home Health Value-Based Purchasing model outlined in the 2016 Home Health Prospective Payment System Final Rule. It will be mandatory for home health agencies starting Jan. 1, 2016




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