AAOS Now, January 2016
CMS Finalizes Mandatory Bundled Payment Model
On Nov. 16, 2015, the Centers for Medicare & Medicaid Services (CMS) finalized a plan to bundle payment and quality measures for several lower extremity joint replacement procedures. The Comprehensive Care for Joint Replacement (CJR) model was originally announced in July and would have required participation by nearly all hospitals in 75 geographic areas, beginning Jan. 1, 2016.
Change Accelerating in 2016
After a year (2015) during which long-awaited changes suddenly came to fruition, it seems that these changes, for good and for bad, will accelerate in the coming year. In 2015, Congress finally stopped the insane, annual "doc fix" due to the SGR (sustainable growth rate) formula by passing MACRA—the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act. Now even legislative acronyms include acronyms.