Medicare Goes For The Knee And Hip Patients In New Model


Medicare should look to improve reimbursement on hip and knee surgeries cost with its new model. This is effective today with an objective of lowering the cost for patients while not compromising affordability. The Centers for Medicaid and Medicare Services are now requiring for Medicare providers to have these specific requirements met f or the procedures. Patients who happen to have better recoveries stand to receive additional payments. In actuality, the regulations in the Comprehensive Care for Joint Replacement Model (CJR) already went into effect since January 15, 2016, however tracking periods for hospitals were postponed for three months until April 1 in order to allow hospitals to come up with better preparation before the model takes into effect. Medicare beneficiaries are known to have knee and hip replacements as the most common procedures. At estimated $7 billion, patients undergo 400,000 surgeries in the year 2014. PexelsDiversified Research Finds Statin To Help Low Risk Patients From Heart Diseases The objective of this new bundled payment model is to make sure that the hospitals are accountable. Infections and even implant failures are ranging as high as three times more common at some health facilities. Average cost for the full procedures including but not limited to surgery, hospitalization, and recovery is around $16-500 up to $33,000 depending on the state and the hospital itself.Like us on Facebook This new model is all about giving hospitals monetary incentive as the work more closely with their doctors, including the nursing facilities. Also one of the objectives of this model is to bring together home healthcare providers and other care providers to coordinate in order to serve the patient’s needs much better. If and when any of these objectives are met, rehospitalization may be minimized, as well as other adverse aftereffects of surgery. This should save time and money for the patients. “Effective implementation of the CJR model will improve the quality and efficiency of care for Medicare beneficiaries, which is essential to creating a health care system that delivers better care, spends our dollars more wisely, and leads to healthier Americans,” the agency said in a press release.   Photo: Pixabay, Pexels