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CMS Announces New Mandatory Bundled Payment Program

Posted on 7/25/2016 by NTOCC ®

This afternoon, the Centers for Medicare & Medicaid Services (CMS) proposed a rule to implement new models to mandate bundled payments for cardiac care. This is the agency’s second-ever program requiring providers to accept set payments for an episode of care. Under the proposed program, hospitals would be accountable for the cost and quality of care for heart attack and cardiac arrest surgery patients during their stay and for the first 90 days after discharge. The program would take effect on July 1, 2017, for hospitals located in nearly 100 metro areas, and it would be steadily phased in across five years.

The proposed rule can be found here.