Modern Healthcare August 19, 2017
The Trump administration wants to dramatically scale back Medicare’s bundled-payment program. It is the wrong move at the wrong time and should be opposed by all providers and insurers committed to moving from payment for volume to payment for value.
The CMS proposal would allow hospitals to opt out of mandatory bundled payments for replacing knees and hips in nearly half the 67 geographic markets currently in the program. It also eliminates the expansion of bundled episode payments to heart attacks, bypass surgery, hip and femur fractures, and cardiac rehabilitation, which had already been delayed until next January.
The proposed changes are in keeping with HHS Secretary Dr. Tom Price’s frequently articulated aversion to mandatory programs. In her justification for...
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