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New Bundled Payment Model

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) review a new bundled payment model called the Comprehensive Care for Joint Replacement (CJR) Model authorized by the Section 1115A of the Social Security Act and progressing from a Bundled Payments for Care Improvement (BPCI) initiative that has stemmed from efforts toward efficient care management. Applying the model will involve various updates and changes outlined in the transmittal.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R169DEMO.pdf

Subject: Episode Payment Model Operations

Number: 169

Title: 9916

Release Date: Feb. 17, 2017

Effective Date: July 1, 2017

Implementation Date: July 3, 2017

Special Notes: N/A

  • Post author
    Lacy Gaskins

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