EPM Update: Cardiac EPMs to Begin January 1, 2018

Published Thursday, May 18, 2017 5:00 pm

 

On May 18, CMS published a final rule regarding the effective date of the Episode Payment Models (EPMs) for AMI and CABG, and the Cardiac Rehabilitation (CR) Incentive Payment Model (see attached).  As you are likely aware, CMS had originally scheduled these payment models to become effective July 1, 2017, and then issued a rule that delayed implementation until at least October 1, 2017 and possibly later.  CMS requested comments on the most appropriate date for implementation, and the final rule just published has set that date.  

The EPMs for AMI and CABG, along with the Cardiac Rehabilitation Incentive Payment Model will become effective January 1, 2018. CMS stated that, “Delaying the EPMs’ and CR incentive payment model’s start date dates until January 1, 2018 will ensure that CMS has adequate time to undertake notice and comment rulemaking if modifications are warranted.”  CMS did not make other substantive changes to these payment models at this time. The Cardiology Advocacy Alliance has commented repeatedly, and will continue to engage with CMS, that the EPMs should be voluntary and not mandatory.  However, CMS is still moving forward with mandatory participation in selected Metropolitan Statistical Areas (MSAs). 

We will continue to keep you apprised as new information becomes available. 

Additional information on the payment models, including the selected MSAs, can be found at https://innovation.cms.gov/initiatives/epm

For a summary of and details on the final rule, click here.