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Outpatient Joint Replacements Added to Medicare Payment Scheme

Feb. 20, 2020, 10:42 PM

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...

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