New bundled payment models focused on cardiac care and orthopedics were finalized by the Centers for Medicare & Medicaid Services at the end of December.
Under cardiac care, the models are meant to cover patients who receive treatment for heart attacks, heart surgery to bypass blocked coronary arteries, or cardiac rehabilitation following a heart attack. They are called the Acute Myocardial Infarction (AMI) Model, The Coronary Artery Bypass Graft (CABG) Model and the Cardiac Rehabilitation Incentive Payment Model (CR). AMI and CABG Models will be implemented in 98 geographic areas.
In orthopedics, the Surgical Hip and Femur Fracture Treatment (SHFFT) Model is meant to help patients who undergo surgery after a hip fracture other than hip replacement.
Even in a new administration, bundled payments are expected to continue. CMS also was finalizing updates to the Comprehensive Care for Joint Replacement Model, which began in April 2016.
The new models are meant to start July 1 and run through 2021.