Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model CMS-5519-P

93 organizations filed 103 public comments on Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model CMS-5519-P, at the Centers for Medicare & Medicaid Services. The comment window closed 3387d ago.

Abstract

This proposed rule proposes to implement three new Medicare Parts A and B episode payment models under section 1115A of the Social Security Act. Acute care hospitals in certain selected geographic areas will participate in retrospective episode payment models targeting care for Medicare fee-for-service beneficiaries receiving services during acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment episodes. All related care within 90 days of hospital discharge will be included in the episode of care. We believe this model will further our goals of improving the efficiency and quality of care for Medicare beneficiaries receiving care for these common clinical conditions and procedures. This proposed rule also includes several proposed modifications to the Comprehensive Care for Joint Replacement model

Commenters (93)

• Advanced Medical Technology Associationtrade assoc.

  2 filings · confidence 97%
• Altarum Institute -- DCtrade assoc.

  2 filings · confidence 85%
• American Health Care Association (AHCA/NCAL)trade assoc.

  2 filings · confidence 97%
• American Heart Association--DCtrade assoc.

  2 filings · confidence 85%
• Cerner Corporation--MOunverified attribution

  2 filings · confidence 70%
• Consumer-Purchaser Alliance--CAtrade assoc.

  2 filings · confidence 85%
• Greater New York Hospital Association-NYtrade assoc.

  2 filings · confidence 85%
• Indiana University Health--DCunverified attribution

  2 filings · confidence 70%
• Missouri Hospital Association-MOtrade assoc.

  2 filings · confidence 85%
• Partnership to Improve Patient Care -- DCtrade assoc.

  2 filings · confidence 85%
• Advanced Medical Technology Association (AdvaMed) -- DCtrade assoc.

  1 filing · confidence 85%
• Advanced Medical Technology Association--DCtrade assoc.

  1 filing · confidence 85%
• Alliance for Home Health Quality and Innovation (the “Alliance”) -- VAtrade assoc.

  1 filing · confidence 85%
• AMDA-The Society for Post-Acute and Long-Term Care Medicine-MDtrade assoc.

  1 filing · confidence 85%
• American Association for Homecare -- DCtrade assoc.

  1 filing · confidence 85%
• American Association of Cardiovascular & Pulmonary Rehabilitation--VAtrade assoc.

  1 filing · confidence 85%
• American Association of Hip and Knee Surgeons -- DCtrade assoc.

  1 filing · confidence 85%
• American Association of Nurse Anesthetists--DCtrade assoc.

  1 filing · confidence 85%
• American Association of Nurse Practitioners--VAtrade assoc.

  1 filing · confidence 85%
• American Association of Orthopaedic Executives (AAOE) -- INtrade assoc.

  1 filing · confidence 85%
• American Association of Orthopaedic Surgeons (AAOS) -- DCtrade assoc.

  1 filing · confidence 85%
• American Association of Orthopaedic Surgeons--DCtrade assoc.

  1 filing · confidence 85%
• American Geriatrics Society -- NYtrade assoc.

  1 filing · confidence 85%
• American Hospital Association (AHA) -- DCtrade assoc.

  1 filing · confidence 85%
• American Hospital Association--DCtrade assoc.

  1 filing · confidence 85%
• American Medical Associationtrade assoc.

  1 filing · confidence 97%
• American Medical Association (AMA) -- DCtrade assoc.

  1 filing · confidence 85%
• American Medical Rehabilitation Providers Association (AMRPA) -- DCtrade assoc.

  1 filing · confidence 85%
• American Occupational Therapy Association -- MDtrade assoc.

  1 filing · confidence 85%
• American Physical Therapy Association (APTA) -- VAtrade assoc.

  1 filing · confidence 85%
• American Society of Anesthesiologists--ILtrade assoc.

  1 filing · confidence 85%
• American Speech-Language-Hearing Association (ASHA) -- MDtrade assoc.

  1 filing · confidence 85%
• American Telemedicine Association--DCtrade assoc.

  1 filing · confidence 85%
• Association of American Medical Colleges (AAMC or Association) -- DCtrade assoc.

  1 filing · confidence 85%
• Association of American Medical Colleges-DCtrade assoc.

  1 filing · confidence 85%
• Association of Rehabilitation Nurses (ARN) -- ILtrade assoc.

  1 filing · confidence 85%
• Aver Inc. (“Aver”) -- OHunverified attribution

  1 filing · confidence 70%
• Blue Cross Blue Shield Association (BCBSA) -- DCtrade assoc.

  1 filing · confidence 85%
• Boston Scientific Corporation -- MAunverified attribution

  1 filing · confidence 70%
• California Hospital Association (CHA) -- CAtrade assoc.

  1 filing · confidence 85%
• California Hospital Association-CAtrade assoc.

  1 filing · confidence 85%
• Cardiology Advocacy Alliance -- MNtrade assoc.

  1 filing · confidence 85%
• Catholic Health Association -- DCtrade assoc.

  1 filing · confidence 85%
• Coalition to Preserve Rehabilitation (CPR) -- DCtrade assoc.

  1 filing · confidence 85%
• DUKE Health University System -- NCunverified attribution

  1 filing · confidence 70%
• Emergency Department Practice Management Association -- VAtrade assoc.

  1 filing · confidence 85%
• Federation of American Hospitals (“FAH”) -- DCtrade assoc.

  1 filing · confidence 85%
• Federation of American Hospitals--DCtrade assoc.

  1 filing · confidence 85%
• Healthcare Association of New York State (HANYS)--NYtrade assoc.

  1 filing · confidence 85%
• Healthcare Financial Management Association --DCtrade assoc.

  1 filing · confidence 85%
• Healthcare Information and Management Systems Society (HIMSS) -- VAtrade assoc.

  1 filing · confidence 85%
• Heart Failure Society of America -- MDtrade assoc.

  1 filing · confidence 85%
• Heart Rhythm Society (HRS) -- DCtrade assoc.

  1 filing · confidence 85%
• Hospital and Healthsystem Association of Pennsylvania (HAP) -- PAtrade assoc.

  1 filing · confidence 85%
• Hospital Corporation of America ("HCA") -- TNunverified attribution

  1 filing · confidence 70%
• Inc. -- CAunverified attribution

  1 filing · confidence 70%
• Inc. -- OKunverified attribution

  1 filing · confidence 70%
• Inc. (SNI) -- DCunverified attribution

  1 filing · confidence 70%
• Inc.--CTunverified attribution

  1 filing · confidence 70%
• Inc.--DCunverified attribution

  1 filing · confidence 70%
• Inc.--FLunverified attribution

  1 filing · confidence 70%
• Indiana University Health (IU Health) -- DCunverified attribution

  1 filing · confidence 70%
• LLC-TNunverified attribution

  1 filing · confidence 70%
• Louisiana Hospital Association--LAtrade assoc.

  1 filing · confidence 85%
• Medicare payment Advisory Committee (MedPac) -- DCtrade assoc.

  1 filing · confidence 85%
• Michigan Health & Hospital Association -- MItrade assoc.

  1 filing · confidence 85%
• National Association for the Support of Long Term Care (NASL) -- DCtrade assoc.

  1 filing · confidence 85%
• National Association of ACOs (NAACOS) -- VAtrade assoc.

  1 filing · confidence 85%
• National Association of ACOs (NAACOS)--DCtrade assoc.

  1 filing · confidence 85%
• National Association of Clinical Nurse Specialiststrade assoc.

  1 filing · confidence 85%
• National Transitions of Care Coalition (NTOCC) -- DCtrade assoc.

  1 filing · confidence 85%
• Partnership for Quality Home Healthcaren--DCtrade assoc.

  1 filing · confidence 85%
• Pennsylvania Homecare Association-PAtrade assoc.

  1 filing · confidence 85%
• Premier healthcare alliance--DCtrade assoc.

  1 filing · confidence 85%
• Pritikin ICR LLC (Pritikin) -- COunverified attribution

  1 filing · confidence 70%
• Private Practice Section (PPS) of the American Physical Therapy Association (APTA) -- VAtrade assoc.

  1 filing · confidence 85%
• Rory Staunton Foundation for Sepsis Prevention and the National Family Council on Sepsis -- NYtrade assoc.

  1 filing · confidence 85%
• Society of Hospital Medicine -- PAtrade assoc.

  1 filing · confidence 85%
• Tennessee Hospital Association (THA) -- TNtrade assoc.

  1 filing · confidence 85%
• The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) -- VAtrade assoc.

  1 filing · confidence 85%
• The American Gastroenterological Association (AGA) -- MDtrade assoc.

  1 filing · confidence 85%
• The Blue Cross Blue Shield Association -- DCtrade assoc.

  1 filing · confidence 85%
• The Healthcare Financial Management Association (HFMA) -- DCtrade assoc.

  1 filing · confidence 85%
• The Society of Thoracic Surgeons (STS) -- DCtrade assoc.

  1 filing · confidence 85%
• The Society of Thoracic Surgeons--DCtrade assoc.

  1 filing · confidence 85%
• University Hospitals -- OHunverified attribution

  1 filing · confidence 70%
• University of Kentucky Healthcare -- KYunverified attribution

  1 filing · confidence 70%
• University of Pittsburgh Medical Center-PAunverified attribution

  1 filing · confidence 70%
• University of Wisconsin Hospital and Clinics Authorityunverified attribution

  1 filing · confidence 70%
• UPMC (The University of Pittsburgh Medical Center) -- PAunverified attribution

  1 filing · confidence 70%
• Winthrop University Hospital (WUH) -- NYunverified attribution

  1 filing · confidence 70%
• Wisconsin Hospital Association--WItrade assoc.

  1 filing · confidence 85%
• WomenHeart: The National Coalition for Women with Heart Disease -- DCtrade assoc.

  1 filing · confidence 85%