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Dive Brief:
CMS has finalized a three-year extension to a joint replacement bundled payment model that has driven down the cost of procedures in recent years.
The next three-year phase will start on Oct. 1, later than originally planned due to COVID-19 but still earlier than AdvaMed pushed for in feedback to the original draft.
Cowen analysts expect orthopaedic device manufacturers to avoid pricing pressure from the initiative and go on to mitigate future downsides by selling more products to each customer.
Dive Insight:
CMS introduced the Comprehensive Care for Joint Replacement Model in 2016. Participants in the initiative receive a flat set of payments for each episode of care. Procedure costs fell at hospitals paid via CJR, leading CMS to propose extending the initiative by three years and revise aspects of the payment model.
Inpatient pay rule would give hospitals $2.5 billion boost
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CMS on Tuesday proposed eliminating its plan for providers to disclose their contract terms with Medicare Advantage insurers, one of a slew of high ticket changes in its Hospital Inpatient Prospective Payment System rule.
In the proposed rule, CMS said hospitals would no longer be expected to report the median payer-specific negotiated charge with MA insurers on its Medicare cost reports retroactive to Jan. 1, 2021. The change would eliminate more than 63,000 burden hours for providers.
Hospitals have long challenged the agency s attempts to impose price transparency requirements, maintaining they wouldn t help consumers or lower healthcare costs.
(Photo by Alex Wong\Getty Images)
The Centers for Medicare and Medicaid Services has updated the Medicare fee-for-service payment rates and policies for inpatient hospitals and long-term care hospitals for 2022.
Before taking into account Medicare disproportionate share hospital payments and Medicare uncompensated care payments, the proposed increase in operating payment rates, increases in capital payments, increases in payments for new medical technologies, increases in payments due to implementation of the imputed floor and other proposed changes will increase hospital payments in FY 2022 by $3.4 billion, or 2.8%.
But there is much in the proposed rule beyond payment updates.
The proposed rule would require hospitals to report vaccination rates among healthcare staff. CMS is proposing the adoption of the COVID-19 Vaccination Coverage among Healthcare Personnel Measure to require hospitals to report COVID-19 vaccinations of workers in their facilities.
(Photo by bymuratdeniz/Getty Images)
Patient ID Now, a coalition of more than 40 healthcare organizations, released a framework this week aimed at creating a national strategy around patient identification that protects individual safety and security.
In the framework, the coalition calls on the federal government to closely collaborate with the private sector and with other public health authorities in working toward the goal of accurate patient identification. Throughout the past year, the COVID-19 pandemic has highlighted the urgent need to address the issue of patient identification. The inability to accurately match patients with their records has severe patient safety and financial implications, and impedes health information exchange, said Hal Wolf, president and CEO of