CMS Update: EPMs Will Not Be Delayed

News | Published: Wednesday, February 22, 2017 5:00 pm

by MedAxiom

 

During a CMS call on February 22, 2017, regarding the AMI and CABG episode payment models (EPMs), a CMS official advised that there will be no further delays to the models (the effective date of the regulations governing the models had previously been delayed from February 18, 2017 to March 21, 2017). In response to a question about whether the first performance year under the models would commence, as planned, on July 1, 2017, the official confirmed that it would.

The July 1 start date will not give physician groups and participant hospitals a large amount of time to negotiate their written “sharing arrangements.”  Under a written sharing arrangement, a participant hospital may agree to pay a specially defined gainsharing payment with a physician group or other providers. 

Participating hospitals should be alert for CMS guidance regarding how a participant hospital must designate a hospital “contact person” for the EPMs. CMS will send program notices, directives, etc. to this contact person, and otherwise communicate with the person regarding matters pertaining to the EPMs. The deadline for submitting this “contact person” information to CMS is March 1, 2017.  Historical cost data for participant hospitals will be available for the hospitals in “mid-Spring.”

MedAxiom will continue to post the latest EPM news. We thank Timothy W. Kennedy, attorney with Hall, Render, Killian, Heath & Lyman, P.C., for his insight and counsel on EPM matters.

For more information on this topic, visit our EPM/Cardiac Bundles Resource Page here: www.medaxiom.com/EPMbundles.