Tag: bundled payments

CJR localities halved; hip fracture episode payment model eliminated

CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and orthopedic conditions, according to a rule posted Nov. 30. The models had been due to begin in January. Within the same rule, CMS also finalized its plan to dial back the comprehensive care of joint replacement (CJR) program that […]

SNF M&A: The Provider Number Trap

Editorial Note: This post has been republished with permission from the author, Reg’s blog. Over my career, I have done a fair amount of merger and acquisition (M&A) work, including: Continuing care retirement communities (CCRC) Skilled nursing facilities (SNF) Home health agencies (HHA) Physician practices Hospice While each deal has many nuances and issues, none […]

CMS announces post-acute participants for bundled payment initiative

The Centers for Medicare & Medicaid Services (CMS) has announced the most recent participants in its Bundled Payments for Care Improvement (BPCI) Initiative. Under the BPCI Initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care. These models may lead to higher quality, more coordinated care at a lower […]