New cardiac and orthopedic bundled payment models to join existing CJR Model

CMS finalized new cardiac and orthopedic bundled payment models on December 20, 2016, which will reward hospitals who work together with physicians and SNFs to avoid complications, prevent rehospitalizations, and speed recovery. These new payment models intend to improve cardiac and orthopedic care as well as patient outcomes.

Cardiac care payment model: Three new payment models will support clinicians in providing care to patients who receive treatment for heart attacks, heart surgery to bypass blocked coronary arteries, or cardiac rehabilitation following a heart attack or heart surgery.

Orthopedic care payment model: One new payment model will support clinicians in providing care to patients who receive surgery after a hip fracture, other than hip replacement. In addition, CMS is finalizing updates to the Comprehensive Care for Joint Replacement Model, which began in April 2016. 

CMS encourages hospitals, physicians, and post-acute care providers to use these new payment models as an educational opportunity to collaborate, share best practices, and improve coordination of care from the initial hospitalization through recovery.  These bundles will begin July 2017.   Premier Therapy will be providing further education this spring.