By Elizabeth Whitman | March 20, 2017
The CMS has delayed the expansion of a major bundled payment pilot, Comprehensive Care for Joint Replacement, and the implementation of its bundled payment initiatives for cardiac care from July 1 to Oct. 1, 2017, according to an interim final rule posted to the Federal Register.
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2017 Ohio Marketplace Carriers
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HHS rule delay does not slow launch of bundled-payment models
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We’re Moving!
Access Companies offices will be closing Friday, November 18 at noon
to move to our new location at:
355 E Campus View Blvd
Suite 110
Columbus, Ohio 43235
We will re-open by noon on Monday, November 21.
All other contacts will remain unchanged:
PO BOX 340006
Columbus, Ohio 43234
Office phone: 614-345-5001
Office email/service box: service@accesselite.com
2016 PAC-Related Medicare Alternative Payment Models
Access and our contracted strategic consultant, Avalere, have created a national map for use with leadership, staff and Board to assist in explaining the many Medicare PAC Pilot activities occurring.
Access Innovations is participating in a Model 3 Bundled Payment Pilot with 12 PAC providers in Ohio indicated by blue dots. The April 1st Comprehensive Care for Joint Replacement Model (CJR) is the first CMS mandatory model, profoundly signaling Medicare’s planned migration to bundled payment is upon us. All our Access strategies are designed to address changes in PAC payment.
Please feel free to call Bryce Henson, Director of Development, if you need more information, at 614-345-5001 x 208.
Medicare Mandatory Joint Bundles: April 2016
Comprehensive Care for Joint Replacement (CJR)
CMS has released its final rule for Comprehensive Care for Joint Replacement (CJR) which puts which puts 790 hospitals on notice that hip and knee replacement reimbursements from Medicare will be tied to cost containment and high standards for patient care. CMS will test the initiative at those hospitals from April 1, 2016, through Dec. 31, 2020. Under CJR, participating hospitals will be held accountable for patient care from a hip or knee replacement procedure (the two most common inpatient surgeries for Medicare patients) through 90 days post-discharge. The CJR Model would initially be implemented in 75 geographic areas and, unlike other existing bundled payment programs would be mandatory for hospitals in those areas. Hospitals may be the only risk-bearing entities under CMS’ CCJR proposed model, but there are major implications for post-acute care (PAC) providers.
Based on review of the CJR program, our Access consultant, DataGen, compiled the top seven things PAC providers need to know about and act on to be successful partners in this and other emerging payment models.
OPERS 2016 changes
Individuals who are Medicare eligible with OPERS health coverage will be changing from a sponsored pension system to having to choose supplemental coverage. Click here to read The Columbus Dispatch article on changes affecting OPERS retirees.
OPERS Humana/MedMutual members are now able to personally select their plans in 2016.
OPERS 2016 announcements and changes for Medicare Retirees
UnitedHealthcare may leave the exchange after 2016
Click here to learn more!
