On July 25th, CMS issued a proposed rule to establish new bundled payment models for cardiac and hip fracture care. The proposed rule aims to advance care coordination, improve quality of care, and reduce spending through financial accountability. The proposed rule includes policies such as:
- New bundled payment models for cardiac care and an extension of the existing bundled payment model for hip replacements to other hip surgeries;
- A new model to increase cardiac rehabilitation utilization; and
- A proposed pathway for physicians with significant participation in bundled payment models to qualify for payment incentives under the proposed Quality Payment Program.
This document summarizes major provisions of the proposed rule. CMS will accept comments until October 1, 2016. The proposed rule is available here.