[20160331]IF10310_综合护理关节置换模型.pdf

https:/crsreports.congress.gov Updated March 31, 2016The Comprehensive Care Joint Replacement ModelThe Medicare program has been criticized for failing to include policies that financially incentivize health care providers to deliver efficient, high-quality health care. The Patient Protection and Affordable Care Act (P.L. 111-148) added Section 1115A to the Social Security Act (SSA), authorizing the creation of the Center for Medicare & Medicaid Innovation, the Innovation Center. The Innovation Center is an agency within the Centers for Medicare & Medicaid Services (CMS) that supports the development and testing of alternative payment and service delivery models to promote care coordination, quality, and efficiency of health care services. Examples of alternative payment models under way at the Innovation Center include the Bundled Payment for Care Improvement (BPCI) initiative. The BPCI currently tests different retrospective or prospective episode-based payment initiatives to improve the efficiency of care delivery. For example, one such model allows hospitals and post-acute care providers that choose to participate to enter into gain-sharing agreementsagreements that retrospect