HHS Delays Bundled Payment Model
HHS delays bundled payment model for cardiac and orthopedic patients. The Department of Health and Human Services has set a new start date for January 1, 2018. This is the third time in 2017 that the bundled payment model and changes to the Comprehensive Care for Joint replacement Model has been delayed.
The rule was initially published in late December 2016. It introduced three new cardiac focused payment models and one for patients who undergo non-replacement hip fracture surgery. The rule also included other changes in the original rules.
Department officials changed the effective date for some of the provisions from February 18 to March 21 indicating a need for the new government under President Trump time to further review the rules. The agency then release an interim rule in march that moved the effective date back again to May 20, this included moving the start date of the program from July 1 to October 1. The interim rule requested comments from providers and interested parties on the possibility of moving the implementation date back for the third time to January 1. It seems as though the delay was driven by those comments. The new rule reinforces the May 20 as the effective date of the final rule, and delays the start date for certain provisions back to January 1, 2018.
HHS notified providers that they would not be responding to the request to be made voluntary instead of mandatory. They then indicated that they would look at this issue when developing future rules. responding to comments requesting the agency to withdraw the rules completely, HHS said it disagreed, believing that “these new models will further our goals of improving the efficiency and quality of care for Medicare beneficiaries.”
The delay was based on the providers need to better understand the program and to develop their internal strategies and programs to meet the requirements. this bundled payment model will require health systems to establish seamless programs to meet the needs of the patient and the new model. Risk will have to be allocated to variety of different providers within each new program.
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