SummaryLast week, CMS took a significant step in its’ campaign to shift Medicare fee-for-service payments to alternative payment models. CMS proposed the first mandatory bundled payment model – the Comprehensive Care for Joint Replacement Model (CCJR) – which will pay hospitals in 75 markets a bundled payment for hip and knee replacements beginning in 2016. The CCJR bundle includes both the hospitalization and care 90-day post-discharge.
The CCJR will effectively move all reimbursements to a bundled payment structure for 25% of the US volume of joint replacements by January 1, 2016. So, what does this mean for you? Will your hospital be affected? How will this mandatory payment model work? Are you equipped to effectively manage bundled payments? Do you have the robust data and analytics tools, a network of preferred partners established and other resources needed to identify the risks and opportunities to be successful within this new reimbursement structure for your organization?
Join Avalere, as we review the details of the CCJR Proposed Rule and begin to answer these questions and more on July 14 at 1:00 Eastern time. In a 30-minute discussion*, we’ll navigate the parameters, risks, and opportunities of assuming financial responsibility for joint replacement episodes of care and discuss the data and analytics resources and other capabilities needed to thrive.
Co-presenters Ellen Lukens and Brian Fuller discuss:
- Details of the Proposed Rule, including the structure,, timing and markets chosen to begin being paid under this mandatory model on January 1, 2016
- The size and scope of the new bundled payment model, which extends to 75 geographic regions across 34 states
- The impact of last week’s announcement on provider organizations and what you have to do to get ready and how to analyze your opportunity
- How to empower your leadership What the announcement means for the future direction of bundled payments by public and private insurers; andteams with the data and analytics needed to be successful under bundled payments
- Where the announcement fits in the broader context of the move toward quality-based payment in the U.S. health care system.
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