NAHC to Broadcast Live Web Event: The Medicare Chronic Joint Replacement Program (CJR) — How Does It Affect Home Health Agencies?
Wednesday, March 9, 2016, 1:00 PM – 2:00 PM Eastern
February 29, 2016 09:45 AM
Starting April 1, 2016, the Medicare program institutes a gainsharing/risk payment model focused on complete hip and knee joint replacements performed in almost 800 hospitals in 67 service areas throughout the country. This new model affects all care provided to such patients for 90 days post-surgery, including home health services. If the total cost of care during this 90 day period is lower than the target rate established by CMS, the hospital will have the opportunity to share in the savings provided that the care meets certain quality metrics. However, beginning in the second year of the program, if the cost of care exceeds the target price, CMS will recoup the excess amount up to a certain level. The CJR program will be in effect for five years.
Are you ready for the latest health care delivery and payment innovation coming out of Medicare? The National Association for Home Care & Hospice (NAHC) will broadcast a Home Care & Hospice TV Network Live Web Event from 1-2 p.m. Eastern on Wednesday, March 9.
It is vital for home health agencies to understand the program and how it affects them. Hospitals are permitted to collaborate with certain types of providers, including home health agencies, SNFs, and physicians regarding the care of patients. Also, hospitals can share any bonus payments received with their provider collaborators while also sharing the financial risks for the costs of care in excess of the targets. Thus, hospitals will be seeking cost-effective quality downstream providers, including home health agencies, with which to partner to maximize their opportunity to receive additional payment for these savings and to minimize the risk of recoupments.
The session will:
Provide attendees with an understanding of the rule that establishes the program;
Describe the incentives for hospitals to collaborate with and refer to certain home health agencies;
Describe the waivers to the Anti-kickback and Stark rules that OIG and CMS have established to enable hospitals to provide gainsharing payments to downstream providers such as home health agencies;
Familiarize attendees with the opportunities and potential burdens presented by the CJR program; and
Enable attendees to understand the legal and practical requirements necessary for them to be collaborators with hospitals under the program to participate in additional payments or share risk
Presenter will be: Michael Cook, Esq.
Michael is a Partner and the Co-chair of the Health Care Group at the law firm of Liles Parker PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, business and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions.
Webcast and Recording
Member: FREE Non-member: $150.00
No refunds are allowed after March 7, 2016. Until that date, a 25% administrative cancellation fee will be charged for all cancellations. All cancellations must be made in writing to email@example.com.
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