On Thursday, November 30, 2017, CMS released the final rule and interim final rule to implement changes to the Comprehensive Joint Replacement Program (CJR). This rule also cancels the Episode Payment Models and the Cardiac Rehabilitation Incentive Payment Model. The final and interim final rule can be downloaded here. A technical fact sheet is available here. Comments are due 60 after publication in the Federal Register which is scheduled for December 1, 2017.
Major provisions of the final rule and interim final rule include:
- CMS is reducing the number of mandatory geographic areas participating in CJR from 67 areas to 34 areas
- CMS is making participation in CJR voluntary for all low volume and rural hospitals participating in the model in all 67 geographic areas
Episode Payment Models and the Cardiac Rehabilitation Incentive Payment Model
- CMS is finalizing the cancelation of the hip fracture and cardiac bundled payment and incentive payment models
Extreme and Uncontrollable Circumstances
- CMS is establishing and seeking comment on a final policy to provide flexibility in determining episode costs for participant hospitals located in areas impacted by extreme and uncontrollable circumstances, such as the major hurricanes of 2017
For more information visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459, firstname.lastname@example.org.