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    CMS Cancels AMI Bundled Payment Program - Leaves Door Open for Resurrection of Voluntary Program

    August 16, 2017

    SCAI has been closely watching developments regarding a proposed HHS/CMS rule, filed with the Office of Management and Budget on August 10, titled “Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model (CMS-5524-P).” Based on the title, it has been anticipated that the mandatory AMI Bundled Program would be canceled. In April, SCAI expressed concerns and recommended revisions to the program that was slated to go into effect January 1, 2018, in a letter to Secretary Price.

    On August 15, the proposed rule was released for public inspection. The proposed rule effectively cancels the AMI Bundled Payment Program but leaves the door open to resurrect the program with revision in the future. There has been high interest in the AMI Bundled Program as it would qualify as an Advanced Alternative Payment Model (AAPM) under MACRA, potentially rewarding physicians up to a five percent MACRA bonus. SCAI will continue to be actively engaged with the CMS with a goal of crafting an AAPM that could support potential cost-savings while improving the quality of delivered care.