Mandatory Medicare Bundled Payment — Is It Ready for Prime Time?  

Oleh:

Mechanic, Robert E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 373 no. 14 (Oct. 2015), page 1291-1293.

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Perpustakaan FK Nomor Panggil: N08.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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In July, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for a new Comprehensive Care for Joint Replacement (CCJR) program. The program would establish bundled payments for total hip and knee replacements, covering hospitalizations, professional fees, and all clinically related Medicare Part A and Part B services for 90 days after discharge, including skilled nursing facility care, home care, and hospital readmissions. CCJR is similar to another model CMS is testing called Bundled Payments for Care Improvement (BPCI), but whereas BPCI is voluntary, hospitals would be required to participate in CCJR. CMS proposes implementing the 5-year program in 75 metropolitan statistical areas with approximately 750 hospitals beginning January 1, 2016.

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