Systemic change in health care often starts with Uncle Sam. That’s one of the reasons value-based health care has gotten so much attention in recent years. But CMS plans to cancel two such government experiments in value-based health care—Episode Payment Models and the Cardiac Rehabilitation incentive payment model. They were scheduled to begin on Jan. 1, 2018.
In addition, according to a CMS proposed rule, the agency wants to cut mandatory participation for hospitals in the Comprehensive Care for Joint Replacement (CJR) model from 67 to 33 metropolitan areas “and for low-volume and rural hospitals in all of the geographic areas selected for participation in the CJR model,” according to the proposed rule.
The rule also says: “We are concerned that engaging in large mandatory episode payment model efforts at this time may impede our ability to engage providers, such as hospitals, in future voluntary efforts.”