Last week, the Centers for Medicare and Medicaid Services proposed canceling multiple major bundled payment programs according to their official records.
The two programs in question are the Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models and the Changes to Comprehensive Care for Joint Replacement Payment Model. These programs have already been delayed twice and, assuming they are not canceled, would take effect on January 1, 2018.
Both programs qualify as Advanced Alternative Payment Models (APMs) under MIPS. They would allow doctors to earn a bonus of five percent as reward for participating in either model. But with the constant back and forth over health care repeal and/or reform, the move toward value based care that both bundled payment models are part of has taken a backseat to that debate.