CMS Grants More Flexibility for Telemedicine Services Under Bundled Payment Model for Joint Replacements | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

CMS Grants More Flexibility for Telemedicine Services Under Bundled Payment Model for Joint Replacements

November 18, 2015
by Heather Landi
| Reprints

This week, the Centers for Medicare & Medicaid Services (CMS) unveiled a bundled payment model for hip and knee replacements that will enable Medicare providers to use telemedicine services more extensively.

Known as the Comprehensive Care for Joint Replacement (CJR), the model, which is set to begin on April 1, will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements from surgery through recovery.

The finalized Medicare payment model has telemedicine implications as CMS is waiving Medicare’s customary requirements that the beneficiary live in a rural area and that the location of the telemedicine services provided must be at a medical facility and not the patient’s home.

In the final rule, CMS waives the geographic and originating site requirements that limit telehealth payments.

CMS wrote in the final rule, “This waiver would allow providers and suppliers furnishing services to CJR beneficiaries to utilize telemedicine for beneficiaries that are not classified as rural and to allow the greatest degree of efficiency and communication between providers and suppliers and beneficiaries by allowing beneficiaries to receive telehealth services at their home or place of residence. In the proposed rule, we stated our belief that these waivers are essential to maximize the opportunity to improve the quality of care and efficiency for lower extremity joint replacement (LEJR) episodes under CJR. “

According to CMS, the CJR model is expected to save the Medicare program as much as $343 million over five years by bundling payments to hospitals to perform hip and knee replacements.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Dignity Health, UCSF Health Partner to Improve the Digital Patient Experience

Dignity Health and UCSF Health are collaborating to develop a digital engagement platform that officials believe will provide information and access to patients when and where they need it as they navigate primary and preventive care, as well as more acute or specialty care.

Report: Digital Health VC Funding Surges to Record $4.9 Billion in 2018

Global venture capital funding for digital health companies in the first half of 2018 was 22 percent higher year-over-year (YoY) with a record $4.9 billion raised in 383 deals compared to the $4 billion in 359 deals in the same time period last year, according to Mercom Capital Group’s latest report.

ONC Roundup: Senior Leadership Changes Spark Questions

The Office of the National Coordinator for Health IT (ONC) has continued to experience changes within its upper leadership, leading some folks to again ponder what the health IT agency’s role will be moving forward.

Media Report: Walmart Hires Former Humana Executive to Run Health Unit

Reigniting speculation that Walmart and insurer Humana are exploring ways to forge a closer partnership, Walmart Inc. has hired a Humana veteran to run its health care business, according to a report from Bloomberg.

Value-Based Care Shift Has Halted, Study Finds

A new study of 451 physicians and health plan executives suggests that progress toward value-based care has stalled. In fact, it may have even taken a step backward over the past year, the research revealed.

Study: EHRs Tied with Lower Hospital Mortality, But Only After Systems Have Matured

Over the past decade, there has been significant national investment in electronic health record (EHR) systems at U.S. hospitals, which was expected to result in improved quality and efficiency of care. However, evidence linking EHR adoption to better care is mixed, according to medical researchers.