Two letters sent to CMS this week from AAHKS Executive Director, Michael J. Zarski, JD, provide comments on the Medicare Physician Fee Schedule (MPFS) and the hospital Outpatient Prospective Payment System (OPPS). These comments are offered in anticipation of continued close collaboration with CMS to ensure payment reforms benefit from AAHKS expertise and experience in TJA procedures. »… Read More
AAHKS representatives, Jay R. Lieberman, MD, Immediate Past President, Mark I. Froimson, MD, First Vice President, Richard Iorio, MD, Health Policy Council Chair, Michael J. Zarski, JD, Executive Director, and Joshua Kerr, Director of Advocacy, met this week with Patrick Conway, MD, MSc, Deputy Administrator for Innovation and Quality & CMS Chief Medical Officer. They discussed the proposed… Read More
AAHKS leadership are heading to Baltimore and Washington, DC, to meet with officials from the CMS Center for Medicare & Medicaid Innovation (CMMI) and Members of Congress. Discussion will revolve around Advanced Alternate Payment Model (APM) requirements, and how more AAHKS members can become eligible for receiving payment enhancements.
Proposed rule includes modification to CJR and Cardiac Care Bundled Payment Model A new CMS Proposed Rule revises the Comprehensive Care for Joint Replacement Model (CJR) to potentially qualify as an Advanced Alternative Payment Model (APM) if participants meet requirements: Establish a new episode payment model (EPM) for hip/femur fracture treatment excluding lower extremity joint replacement (SHFFT) Establish… Read More
Modern Healthcare reported this week that the CMS is open to delaying the start of the Medicare Access and CHIP Reauthorization Act (MACRA). CMS Acting Administrator Andy Slavitt told lawmakers Wednesday that the agency is considering delaying the start date for Medicare payment reform, which is set to go into effect Jan 1. Testifying before the Senate Finance… Read More
The Centers for Medicare & Medicaid Services (CMS) received comments from AAHKS on its hospital inpatient prospective payment systems (IPPS) proposed rule for fiscal year 2017. Our comments focused on three issues: combination codes for removal and replacement of knee joints, risk-adjusting for sociodemographic factors under the hospital readmissions reduction program, and the value-based purchasing (VBP) program proposed… Read More
AAHKS advocacy efforts with the Centers for Medicare & Medicaid Services (CMS) resulted in positive reform on the Alternate Payment Model front. AAHKS worked in an alliance with the American Association of Medical Colleges (AAMC) and the American Academy of Orthopaedic Surgeons to approach CMS about changing the criteria for inclusion of hip fracture patients in the Bundled… Read More
On May 9, 2016, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule addressing implementation of physician payment reforms included in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This proposed rule defines how CMS intends to shift traditional fee-for-service payments that reward physicians for the volume of services delivered to Medicare payments… Read More
Presented by the Value-based Healthcare Consortium, “Value Based Care and its Implications: Preparing for Bundled Payments and CJR” takes place on Wednesday, June 22, 2016 at the Orthopaedic Learning Center in the Orthopaedic Headquarters in Rosemont, Ill. AAHKS members Joseph Bosco, MD, Richard Iorio, MD and Board member Ryan Nunley, MD are the featured experts. Full details.