Proposed Payment Rule: Medicare Advancing Care Coordination through EPM

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On July 26, the Centers for Medicare and Medicaid Services (CMS) published a proposed payment rule for the Advancing Care Coordination through Episode Payment Models (EPMs). The model program, if adopted as final, would be effective for discharges on or after July 1, 2017, unless otherwise noted.

A SDAHO brief summary of the proposed rule is provided and page numbers noted in this summary are from the version of the proposed rule published in the Federal Register.

A copy of the Federal Register (FR) with this proposed rule and other resources related to the 3 new EPMs are available on the CMS website. Comments on all aspects of the proposed rule are due to CMS by October 3, 2016 and can be submitted electronically here by using the website’s search feature to search for file code “5519-P.”