Is CMS doing bundled payment for hip and knee replacement all wrong?

Earlier this month, the federal Centers for Medicare & Medicaid Services proposed a five-year bundled-payment test program for hip and knee replacement surgeries. At the time, CMS said its Comprehensive Care for Joint Replacement (CCJR) program would require 800 hospitals in 75 areas to test bundled payments for most of the 100,000 hip and knee […]

Three CMS proposals would shift basis of payments from volume to value

Announcements from the U.S. Department of Health & Human Services last week on rules about bundled payments for hip and knee replacement surgeries, home care, and physician payment reform, move the agency forward in its goal to move 50 percent of fee-for-service Medicare payments into alternative payment models by the end of 2018. To recap: In […]

As it considers SGR fix, Senate weighs fundamental shifts to Medicare

After voting to eliminate the Sustainable Growth Rate (SGR) formula last week, the U.S. House of Representatives sent the measure to the U.S. Senate where the bill’s fate is uncertain. When the Senate recessed on Friday without considering the bill, H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, it pushed off a […]

Growing beyond the pilot stage, bundled payment gains wider acceptance

Health insurers are expanding the use of bundled payment as a core part of their efforts to reform how they deliver and pay for care, according to a new report commissioned by the Health Care Incentives Improvement Institute Inc. (HCI3), a nonprofit that supports bundled payment and other payment-reform initiatives. (See below for an announcement […]