Topic
Episode-Based Payment
10 published works
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X)
By Hall Render
The first nationwide test of a mandatory episode-based payment model has been unveiled. In the Fiscal Year (“FY”) 2027 Inpatient Prospective Payment System (“IPPS”) Proposed Rule, the Centers for Medicare &…
Health Care Law Today
CMS Issues Final Rule Extending and Revising Comprehensive Care Joint Replacement Episode-Based Payment Model
By Alexis Finkelberg Bortniker, C. Frederick Geilfuss II
The Centers of Medicare and Medicaid Services (CMS) issued a Final Rule (the Rule) on April 29, 2021 extending and making various revisions to the Comprehensive Care for Joint Replacement…
Health Industry Washington Watch
CMS Proposes Cancellation of Medicare Cardiac/Hip Fracture Episode Payment Models, Scale-Back of Mandatory CJR Participation
By Debra A. McCurdy, Elizabeth B. Carder-Thompson, Gail L. Daubert, Carol Loepere
Signals Trump Administration’s About-Face on Obama-Era Mandatory Innovation Models The Centers for Medicare & Medicaid Services (CMS) has just released a proposed rule to cancel a significant -- but still-pending…
Health Law
CMS Delays Implementation of Episode Payment Models (EPMs)
In an Interim Final Rule with Comment Period (IFC) published on March 21, 2017, CMS provided that implementation of the EPMs for cardiac and orthopedic care improvement, the cardiac rehabilitation incentive payment…
Health Industry Washington Watch
Price, Verma Taking a Fresh Look at Obama Administration’s EPM/CJR Final Rule; Changes Pushed Back to at Least October 1, 2017
HHS Secretary Thomas Price and CMS Administrator Seema Verma have signaled that the Trump Administration is eyeing changes to one of the last major Medicare policies issued by the Obama…
Health Law Diagnosis
HHS Delays Effective Date of Key Provisions in CMS Final Rule “Advancing Care Coordination through Episode Payment Models”
By Conor Duffy
On February 17, 2017, the U.S. Department of Health & Human Services (HHS) announced that it had delayed the effective date of provisions of a Centers for Medicare & Medicaid…
Health Industry Washington Watch
Trump Temporarily Tables Effective Date of the New Episode Payment Model Rule – But No Change to July 1, 2017 Implementation
As mandated by the Trump Administration’s regulatory review policy, CMS is delaying the effective date of its January 3, 2017 final rule establishing mandatory Medicare episode payment models (EPM) for…
Health Law Diagnosis
CMS Final Rule on Episode Payment Models and Revisions to CJR Model
By Robinson+Cole's Health Law Group
In December, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (Final Rule) implementing new and revised episode payment models (EPMs) developed by the CMS Innovation Center. …
Health Care and Life Sciences
CMS Issues Proposed Rule Advancing Care Coordination through Three New Mandatory Episode Payment Models and Introducing a Cardiac Rehabilitation Incentive Payment Model
By Karen L. Cavalli, Jackie Selby
If your organization has missed an opportunity to participate in the voluntary Medicare Bundled Payments for Care Initiatives and/or the mandatory CJR program, CMS' Centers for Medicare and Medicaid Innovation…
Health Industry Washington Watch
CMS Considering Innovative Episode-Based Payment Models for Outpatient Specialty Practitioner Services
CMS is requesting public comments on ways to structure new models for delivering and paying for Medicare outpatient specialty practitioner services. The first broad model CMS is considering is a…