United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2018-02-01 article Part II Rules and Regulations D09002ee1c7f30359 D09002ee1c7f30404 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule implements three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment model and modifications to the existing Comprehensive Care for Joint Replacement model under section 1115A of the Social Security Act. Acute care hospitals in certain selected geographic areas will participate in retrospective episode payment models targeting care for Medicare fee- for-service beneficiaries receiving services during acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment episodes. All related care within 90 days of hospital discharge will be included in the episode of care. We believe these models will further our goals of improving the efficiency and quality of care for Medicare beneficiaries receiving care for these common clinical conditions and procedures. 82 FR 180 https://www.govinfo.gov/app/details/FR-2017-01-03/2016-30746 2016-30746 fr03ja17-14 RIN 0938-AS90 4120-01-P CMS-5519-F https://www.govinfo.gov/app/details/FR-2017-01-03/2016-30746 https://www.govinfo.gov/content/pkg/FR-2017-01-03/html/2016-30746.htm https://www.govinfo.gov/content/pkg/FR-2017-01-03/pdf/2016-30746.pdf Administrative Practice and Procedure Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure 472 p. 180 651 82 FR 180 Title 42 Part 510 42 CFR Part 510 Title 42 Part 512 42 CFR Part 512 RIN 0938-AS90 Medicare Program; Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR); Federal Register Vol. 82, Issue RULE 2016-30746 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2017-02-18 CMS-5519-F 4120-01-P 2016-30746 Final rule.

This final rule implements three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment model and modifications to the existing Comprehensive Care for Joint Replacement model under section 1115A of the Social Security Act. Acute care hospitals in certain selected geographic areas will participate in retrospective episode payment models targeting care for Medicare fee- for-service beneficiaries receiving services during acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment episodes. All related care within 90 days of hospital discharge will be included in the episode of care. We believe these models will further our goals of improving the efficiency and quality of care for Medicare beneficiaries receiving care for these common clinical conditions and procedures.

Effective dates: This rule is effective February 18, 2017, except for the following amendatory instructions: number 3 amending 42 CFR 510.2; number 4 adding 42 CFR 510.110; number 6 amending 42 CFR 510.120; number 14 amending 42 CFR 510.405; number 15 42 CFR 510.410; number 16 revising 42 CFR 510.500; number 17 revising 42 CFR 510.505; number 18 adding 42 CFR 510.506; and number 19 amending 42 CFR 510.515, which are effective July 1, 2017. For questions related to the EPMs: EPMRULE@cms.hhs.gov. Administrative Practice and Procedure Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Medicare Program: Advancing Care Coordination through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; Changes to the Comprehensive Care for Joint Replacement Model , CJR@cms.hhs.gov epm@cms.hhs.gov EPMRULE@cms.hhs.gov CMS.gov Data.Medicare.gov http://cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology.html http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/eCQM_2014_EP_June2015.zip http://hcupnet.ahrq.gov/ http://innovation.cms.gov/Files/fact-sheet/Pioneer-ACO-Model-Beneficiaries-Rights-Fact-Sheet.pdf http://innovation.cms.gov/initiatives/ACE/ http://innovation.cms.gov/initiatives/BPCI-Model-2/ http://innovation.cms.gov/initiatives/epm http://innovation.cms.gov/initiatives/Oncology-Care/ 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Vol. 82, no. 1 Office of the Federal Register, National Archives and Records Administration 2017-01-03 continuing daily deposited born digital 714 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2017-01-03 P0b002ee1982b720e 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr03ja17 https://www.govinfo.gov/app/details/FR-2017-01-03 https://www.govinfo.gov/content/pkg/FR-2017-01-03/pdf/FR-2017-01-03.pdf https://www.govinfo.gov/content/pkg/FR-2017-01-03/xml/FR-2017-01-03.xml fdlp 1 709 DGPO 2018-02-01 2024-06-01 FR-2017-01-03 machine generated eng FR FR-2017-01-03 82 1