Medicare sticks with mandatory bundled-pay demo, but Tom Price likely to intervene

200516369-001-copyThe CMS is moving forward with a new mandatory initiative that would make hospitals in 98 markets financially accountable for the cost and quality of all care associated with bypass surgery and heart attacks.

The final regulations issued Tuesday came just days after the agency announced it was junking a proposed mandatory demonstration that would have tested new ways of paying for outpatient drugs under Medicare Part B in an effort to bring those prices down.

Both models have drawn criticism that the Center for Medicare & Medicaid Innovation is overreaching its mandate by compelling participation, including from President-elect Donald Trump’s nominee for HHS secretary, Rep. Tom Price (R-Ga.). Price is likely to pull the plug on the five-year demonstration, which is now scheduled to take effect July 1, 2017, in 98 randomly selected metropolitan areas.

By Virgil Dickson | Modern Healthcare

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