Earlier this week AHCA submitted comments on the new cardiac/CJR episodic payment model expansion called Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model, and Changes to the Comprehensive Care for Joint Replacement Model (CJR.)
The comments outline our key concerns and highlight research on the current state of bundled payments. AHCA recommends to CMS that they halt expansion of the proposed bundling initiatives until it has formally evaluated 12 months of data from the CJR demonstration, beginning with the start of downside risk-bearing on January 1, 2017.
For comments or questions on this proposed rule or the AHCA submitted comments, please contact James Michel, Senior Director, Medicare Reimbursement & Policy at AHCA/NCAL.
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