CMS Issues Final Rule to Delay Some Bundled Payment Models

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule to delay the implementation of some bundled payment models.

The final rule, posted to the Federal Register on May 19, 2017, pushes back the expansion of the Comprehensive Care for Joint Replacement (CJR) Model, the Cardiac Rehabilitation Incentive Payment Model and the care coordination models. CMS proposed the delay at the end of March.

The rule pushes back the effective date for the Cardiac Rehabilitation model and some provisions of the care coordination model from July 1, 2017 to Jan. 1, 2018.


CMS received 47 comments on the care coordination models and the Cardiac Rehabilitation model over the 30-day comment period that ended April 19, 2017. Some commenters supported the Jan. 1, 2018, implementation date, though there was some disagreement on pushing back the effective date.

The delay ensures “participants would have a clear understanding of the governing rules before episodes begin and have the opportunity to take additional steps to adjust to any potential changes that may be effectuated,” CMS stated.

CMS also delayed the implementation of some provisions of the CJR model until Jan. 1, 2018.


See the final rule on the Federal Register here.

Written by Amy Baxter

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