The Trump administration’s move to delay the effective date for a rule that launched several new cardiac and orthopedic bundled-payment models under Medicare will not slow the launch of the initiatives, an HHS spokesman confirmed Thursday.
Variations exist in the volume of hip and knee replacement procedures among hospitals that participated in a Medicare bundled payment program, but the program was not was responsible for those variations, researchers say.
When: Tuesday, March 14, 2016 7:00-10:00pm @ AAOS Annual Meeting
Where: Hilton San Diego Bayfront – Indigo Room
1 Park Blvd, San Diego, CA 92101
Cost: $100 (includes dinner)
What are some of the biggest problems around bundled payment models and value-based care causing difficulties for physicians? According to Corporate Director at Willis-Knighton Health Systems Chris Mangin, the Comprehensive Care for Joint Replacement Model from the Centers for Medicare & Medicaid Services (CMS) leads providers to refuse joint replacement surgery for patients at higher risk of complications.
I am Charles Cornell, an orthopedic surgeon at the Hospital for Special Surgery in New York. I want to talk about delivery of quality care in total knee replacement with respect to bundling and cost savings.
CMS launched the Comprehensive Care for Joint Replacement model in April 2016 to compel hospitals to better coordinate care for joint replacement surgery patients in an effort to reduce readmissions and use of expensive post-acute services. The CJR model imposes penalties on hospitals for readmissions of lower extremity joint replacement patients within 90 days of surgery, but a new study from Brown University finds there is no adequate index for predicting readmission risk.