The Trump administration wants to extend a Medicare payment system for joint replacement surgery by three years and expand the payment option to include outpatient knee and hip replacements.
In a proposed rule issued Thursday, the Centers for Medicare & Medicaid Services would continue the Comprehensive Care for Joint Replacement payment model from 2021 through 2023.
Begun in 2016, the model utilizes bundled payments to provide better, more cost-efficient care for beneficiaries undergoing common joint replacement surgeries. It was set to expire at the end of 2020.
The proposal would also change the definition of a joint replacement “episode” to...