American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘Bundled Payments’

CMS Delayed in Sending Claims Data

“Hospitals and physician groups that want to participate in the CMS’ new Medicare bundled-payment demonstration are sweating because the agency is behind schedule in giving providers the claims data they need to decide which care bundles to select,” reported Modern Healthcare this week. CMS was due to share claims data with groups who volunteered to participate in the… Read More

CMS Reduces CJR Mandatory Participation

The Centers for Medicare and Medicaid Services (CMS) issued a new proposed rule that would reduce the number of mandatory geographic areas participating in the Comprehensive Care for Joint Replacement (CJR) model from 67 to 34 and allow the remaining 33 to opt-in to continue participating voluntarily while also excluding low volume and rural hospitals from mandatory participation.… Read More

AAHKS Submits Letter of Intent to Develop New Payment Model

On the day after Health and Human Services Secretary Tom Price announced that he wants physicians to “step up and recommend more payment alternatives to fee-for-service Medicare,” AAHKS submitted a letter of intent, which had already been in the works, to ensure AAHKS took the lead in innovating a payment model for TJR. The AAHKS Advanced Alternative Payment… Read More

Analysis of BPCI Shows No Increase in Volume

The Altarum Institute published a study last week stating that BPCI did not lead to a statistically significant rise in volume of total joint replacement procedures at participating hospitals. Referencing a recent BPCI study published in JAMA, the study’s authors stated, “Our analysis of Medicare fee-for-service data from 2010 through 2015 by hospital, for all lower extremity joint… Read More

AAHKS Leaders to Visit CMS and Capitol Hill

AAHKS leadership are heading to Baltimore and Washington, DC, to meet with officials from the CMS Center for Medicare & Medicaid Innovation (CMMI) and Members of Congress. Discussion will revolve around Advanced Alternate Payment Model (APM) requirements, and how more AAHKS members can become eligible for receiving payment enhancements.

BPCI Extension Available For Awardees

The Centers for Medicare & Medicaid Services (CMS) announced this week that awardees who started participation in the Bundled Payments for Care Improvement (BPCI) initiative in October 2013 and are scheduled to end in 2016, are now able to extend participation in Models 2, 3 and 4 through September 30, 2018. CMS reports that as of April 1,… Read More

Companies Offering Employees Free Bundled Surgeries

An article on NPR’s All Things Considered reports that some major companies in the US, including Lowe’s home improvement company and Walmart, offer their employees surgery for some major operations with no out-of-pocket costs. The companies are making deals with large hospitals and medical centers to provide bundled care for the surgical episodes, including hip and knee replacements,… Read More

Watch Replay of Bundled Payments Webinar

AAHKS hosted the webinar “Navigating Bundled Payments and CJR in Total Joint Arthroplasty” on February 24, 2016. Jay R. Lieberman, MD served as moderator, and Richard Iorio, MD; Stephen J. Zabinski, MD; and Gabrielle White, RN served as faculty . If you missed the live presentation, you can replay it or download it for offline use here. This interactive one… Read More

Registration Open for AAHKS Bundled Payment Webinar

If you are among the many AAHKS members affected by the new Medicare CJR bundled payment pilot, you can’t afford to miss the next AAHKS webinar. Register online now for “Navigating Bundled Payments and CJR in Total Joint Arthroplasty” taking place on Wednesday, February 24, 2016 at 8:00 p.m. (EST). Implementation of CMS’s Comprehensive Care for Joint Replacement… Read More

OrthoCarolina to Bundle Hip, Knee Replacement Costs

OrthoCarolina or Charlotte, NC is the latest physician group to announce its plan for a hip and knee bundled payment program. The Charlotte Observer reports that the plan is in place for patients at Lake Norman Regional Medical Center in Mooresville and Watuga Medical Center in Boone. Partnering with Blue Cross and Blue Shield of North Carolina, OrthoCarolina… Read More