Issue link: https://beckershealthcare.uberflip.com/i/936525
17 PRACTICE MANAGEMENT CMS Cancels Hip Fracture, Cardiac Bundles and Finalizes CJR Model: 5 Things to Know By Laura Dyrda C MS canceled the mandatory hip fracture and cardiac bundled payments scheduled to go into effect Jan. 1, 2018, and made changes to the Comprehensive Care for Joint Replacement Model with the goal of offering more flexibility. "While CMS continues to believe that bundled pay- ment models offer opportunities to improve quality and care coordination while lowering spending, we believe that focusing on developing different bundled payment models and engaging more providers is the best way to drive health system change while mini- mizing burden and maintaining access to care," said CMS Administrator Seema Verma. "We anticipate announcing new voluntary payment bundles soon." Here are five things to know about the final rule: 1. CMS reduced the number of geographic areas par- ticipating in CJR on a mandatory basis from 67 to 34. 2. As of Feb. 1, 2018, CJR will not be mandatory for low-volume hospitals — those with fewer than 20 CJR episodes in total over the past three years — or rural hospitals in the covered geographies. However, rural hospitals can choose to participate if they comply with CJR regulations. 3. e final rule includes an interim final rule with a comment period to seek feedback on the final policy and provide additional flexibility in episode of care costs for providers in areas that were impacted by "ex- treme and uncontrollable circumstances," including the hurricanes that occurred earlier this year. 4. In the future, CMS expects to roll out additional opportunities for providers to participate in voluntary initiatives instead of mandatory bundled payment models. 5. e agency decided to cancel proposed bundles for hip fractures and cardiac care, and will instead focus efforts on designing and testing models to improve care coordination across the inpatient and post-acute care spectrum. n Northwell Health Opens $25M Surgery Center, $8M Medical Pavilion: 5 Insights By Mackenzie Garrity N orthwell Health opened the Lenox Health Greenwich Village in New York City, which includes a surgery center, medical pavil- ion and orthopedic institute, according to Chelsea Now. Here are five insights: 1. The $25 million surgery center includes six operating rooms, two procedure rooms, eight prep areas and 23 recovery beds. Center phy- sicians at the center provide arthroscopic surgery, sports medicine, minimally invasive foot and ankle surgery, hand and wrist surgery and minimally invasive cervical and spine procedures. 2. Within the $8 million medical pavilion is the Northwell Health Physician Partners Orthopaedic Institute. Additionally, the medical pavilion houses the spine care program, as well as physical medicine, rehabilitation, pain management and urology practice and a conference center. 3. Northwell Health also opened three other locations in the area to offer neurology, internal medicine, family medicine and cardiology ser- vices to community members. 4. The health system plans to open another multispecialty practice that will house gastroenterology, rheumatology, otolaryngology, audiology, tho- racic, pediatric cardiology, pediatric pulmonology and surgical services. 5. Northwell Health is New York's largest healthcare provider and pri- vate employer with 22 hospitals, more than 550 outpatient facilities and approximately 15,000 affiliated physicians. n Orthocarolina Unveils New Location With Customer-Focused Model — 5 Takeaways By Megan Wood OrthoCarolina opened a new office in Charlotte, N.C. Here are five takeaways: 1. The office is located in Charlotte's South Park neighborhood. 2. It will be an all-subspecialty office. 3. OrthoCarolina locations provide foot, ankle, hand, hip, knee, shoul- der, elbow, spine, sports medicine and pediatric services. 4. OrthoCarolina is testing out a model of care at the new location, plac- ing patient experience at the forefront. The new office features modern aesthetics unlike the other locations, and offers fruit-infused water, a coffee bar and valet service. 5. A concierge team of six people help with patient flow and work alongside a customer service team trained to deliver consistent care. n