- May 10, 2016
3:00 pm - 4:30 pm
CMS is rolling out the Comprehensive Care for Joint Replacement Model in April, 2016 which 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. Through this retrospective bundled payment model, hospitals in 67 geographic areas in 30 states will receive additional payments if quality and spending performance are strong or, if not, potentially have to repay Medicare for a portion of the spending for care surrounding a lower extremity joint replacement (LEJR) procedure. The model’s goal is to give hospitals a financial incentive to work with physicians, home health agencies, skilled nursing facilities, hospices, home care agencies and other providers to make sure beneficiaries get the coordinated care they need. Within this model, there can be risk but also opportunity. This webinar will assist attendees in gaining insights into the financial and risk management aspects of this bundled payment initiative.
David Broyles, Attorney, Poyner Spruill LLP – David’s practice focuses on representing health care providers, with an emphasis on regulatory and operations issues, licensure and certification, Certificate of Need, and reimbursement-related matters. He regularly advises clients on state and federal regulatory compliance ranging from daily operations to strategic planning, in addition to reimbursement matters dealing with governmental and commercial payors, including provider credentialing, payment denial appeals, audits and recoupments. David also represents various types of health care providers and entities in transactions involving Certificate of Need, as well as the litigation of Certificate of Need awards and denials.