Beginning April 1, CMS is targeting nearly 70 markets in a project to combine all the costs for joint replacement surgery for knees and hips. Medicare will look for a bundled payment for the surgeries and all associated costs, hoping to save $343 million over the next five years. For the first time, the bundled payment pilot will be mandatory.
Hospitals where the surgeries are performed will have to look at elimination a variation in care for patients, including postdischarge care which would include more scrutiny on nursing home care.
A bill was recently introduced in the House to delay the pilot until 2018, but experts agree the bill is a long shot to be passed. An extensive article on the program and providers using presurgical education to control costs is available here.
To learn more about IntrinsiQ Specialty Solutions, click here.