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CMS Proposes Bundled Payment Model for Joint Replacements to Begin in January

The Centers for Medicare & Medicaid Services (CMS) yesterday issued the attached proposed rule that creates a new model in which acute care hospitals in certain selected geographic areas, including three in California, will receive retrospective bundled payments for episodes of care for hip and knee replacements beginning Jan. 1, 2016 through Dec. 31, 2020. The Comprehensive Care for Joint Replacement (CCJR) model would hold participant hospitals financially accountable for the quality and cost of a  90-day episode of care and is intended to incentivize increased coordination of care among hospitals, physicians and post-acute care providers. Participation in the model would be required by hospitals paid under the inpatient prospective payment system (IPPS) in 75 geographic areas defined by metropolitan statistical areas (MSAs). CMS has proposed participation for three California MSAs, including Los Angeles-Long Beach-Anaheim (Orange County and Los Angeles County), Modesto (Stanislaus County), and San Francisco-Oakland-Hayward (Alameda County, Contra Costa County, San Francisco County, San Mateo County and Marin County).

HQI to Host Webinar on Child Abuse Reporting and Perinatal Mental Health

As part of its Perinatal Mental Health (PMH) Learning Community, the Hospital Quality Institute will host a webinar on Aug. 19 from noon to 1 p.m. (PT) to discuss the impact of child welfare involvement on both parent and infant mental health, the role that hospital staff plays in the process of child abuse reporting during the perinatal period, and steps to file a child abuse report as a...

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Supporting CHPAC helps ensure hospitals and health systems have a strong voice when decisions are made that impact the delivery of health care. CHPAC works to ensure elected officials making these important decisions understand the fundamental roles hospitals and health systems play in the future of health care. Your contribution sends a message to policymakers […]

U.S House Holds Multiple Hearings on Hospital Issues

CHA thanks members for responding to the targeted alert calling for hospitals to contact their congressional representatives ahead of the four House subcommittee hearings on transparency, disproportionate share hospital (DSH) payments, outpatient payments, 340B, physician-owned hospitals, tax-exempt status, and many other hospital issues.