CMS has collected comments on the Proposed Rule CMS-5524-P: Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model. This rule recommends, among other issues, to reduce the number of mandatory MSAs that are participating in the Comprehensive Care for Joint Replacement Model (CJR) from 67 to 34 and to eliminate other proposed mandatory episode payment models (EMP).
AAHKS applauds CMS for proposing this change. AAHKS recommended implementation of risk adjustment/risk stratification and allowing physicians to be episode initiators and conveners in CJR in order to make it more effective. AAHKS also supports the CMS proposals to adjust the pricing calculation for the CJR telehealth HCPCS codes to include facility PE values and to expand the opportunities to qualify as a qualified provider (QP) in CJR; thereby, earning the 5% payment bonus and exclusion from MIPS. Read the full AAHKS Comment letter. In addition, AAHKS signed on to the AAOS’ Comment letter.