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CMS Finalizes Changes to Joint Replacement Bundles; Verma Promises Shift to Voluntary Models

By: Mary Caffrey

DataGen was recently featured in an article from AJMC.

CMS on Thursday finalized changes to one of the most ambitious payment reform efforts of the Obama era—the mandatory bundled payment program for hip and knee replacements, which affected 67 markets and was once poised to expand.

Instead, the administration of President Donald Trump has canceled those plans, along with a proposed bundled payment program for cardiac care that was set to start January 1, 2018. The shift marks a change in philosophy that the Trump administration says will give smaller hospitals and practices more flexibility. Others say the change will slow payment reform, at the expense of better care and savings.

It all comes down to whether one believes healthcare transformation should be mandatory or voluntary. The Trump team prefers the latter.

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