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. CMS issues proposed rule to reduce mandatory participation in CJR; eliminate SHFFT

Thursday, August 17, 2017   (0 Comments)
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The U.S. Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule to reduce the number of mandatory geographic areas participating in the Comprehensive Care for Joint Replacement (CJR) model from 67 to 34, with CJR participants in the 33 remaining areas allowed to participate on a voluntary basis. The agency also proposes to make CJR participation voluntary for all low-volume and rural hospitals in all CJR geographic areas. Among other things, the rule further proposes to cancel Episode Payment Models (EPMs), including the Surgical Hip and Femur Fracture Treatment (SHFFT) Model, which were scheduled to begin Jan. 1, 2018. CMS states that eliminating such programs will offer the agency greater flexibility to design and test innovations to improve quality and care coordination across the in-patient and post-acute-care spectrum.
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In response, the American Association of Orthopaedic Surgeons (AAOS) issued a statement commending CMS for addressing the organization’s concerns by proposing to reduce the geographic area for CJR while retaining a voluntary option. AAOS plans to submit comments on the proposed rule prior to the Oct. 16 due date.
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Source: AAOS Headline News Now - August 16, 2017


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