Becker's Healthcare June 11, 2024
The American Hospital Association has pushed back against CMS’ proposed Transforming Episode Accountability Model, which is part of the inpatient prospective payment system role for fiscal year 2025.
“[It] is proposing to mandate a model that has significant design flaws, and as proposed, places too much risk on providers with too little opportunity for reward in the form of shared savings, especially considering the significant upfront investments required,” the AHA wrote in June 10 comments to CMS.
The proposed mandatory payment model would bundle payment to acute care hospitals for five types of surgical episodes:
- Lower extremity joint replacement
- Surgical hip femur fracture treatment
- Spinal fusion
- Coronary artery bypass graft
- Major bowel procedure
These five surgical...
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