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CMS CJR Payment Initiatives
CMS is rolling out the Comprehensive Care for Joint Replacement Model in April, 2016 which will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements from surgery through recovery. Through this retrospective bundled payment model, hospitals in 67 geographic areas will receive additional payments if quality and spending performance are strong or, if not, potentially have to repay Medicare for a portion of the spending for care surrounding a lower extremity joint replacement (LEJR) procedure. Major areas in North Carolina will fall under this model. The model’s goal is to give hospitals a financial incentive to work with physicians, home health agencies, skilled nursing facilities, hospices, home care agencies and other providers to make sure beneficiaries get the coordinated care they need. Within this model, there can be risk but also opportunity. This webinar will assist attendees in gaining insights into the financial and risk management aspects of this bundled payment initiative.
Presenters: David Broyles, Attorney, Poyner Spruill, LLP and Andy Page, Partner with Dixon Hughes Goodman's National Healthcare Advisory Practice
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