Fierce Health Payers February 20, 2020
Robert King

The Trump administration wants to keep a hip and knee replacement bundled payment model going for another three years.

The Centers for Medicare & Medicaid Services released a proposed rule Thursday that calls for a three-year extension to the Comprehensive Care for Joint Replacement Model, which is set to end after this year. The agency is also floating a major change to cover outpatient replacements, as the model currently only covers inpatient procedures.

The goal is to address changes to facilities that can now “allow for total knee and hip replacements to be treated in the outpatient setting,” CMS said in a fact sheet on Thursday.

CMS is also proposing changes for how it will reconcile payments made under the...

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Topics: Bundled Payments, CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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