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Providers in Harrisburg, Pa., Cincinnati, Ohio, Gainesville, Fla. And Lubbock, Tex., may not be applauding a new CMS final rule that scales back Medicare’s Comprehensive Care for Joint Replacement (CJR) program next year. That’s because in those localities — as well as 30 other high-cost areas — the CJR program continues to be mandatory next year.
CMS is preparing to cancel four mandatory episode payment models for common cardiac and orthopedic conditions that were due to begin in January, according to a proposed rule issued Aug. 15.
More small practices can quality for exclusions from the Quality Payment Program (QPP), claim hardship exceptions from electronic health record (EHR) requirements or earn automatic bonus points if the proposed QPP rule released June 20 is finalized.
Providers won’t have to worry about participating in a new set of mandatory Medicare episode payment models for cardiac and orthopedic procedures until next year.

Providers in four states get an opportunity to join the Comprehensive Primary Care Plus program (CPC+) and become an advanced alternative payment model (APM).


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