US proposes to expand fixed payments to cardiac care

BMJ 2016; 354 doi: (Published 28 July 2016) Cite this as: BMJ 2016;354:i4185
  1. Michael McCarthy
  1. Seattle

The US Centers for Medicare and Medicaid Services has proposed the introduction of bundled payments to reimburse physicians and hospitals for cardiac care and to expand the payment model for the reimbursement of surgical treatment of hip and femur fractures.

The proposal, announced on 25 July, also includes incentive programs to promote the use of cardiac rehabilitation, which only about one in seven patients in the US who have had a heart attack receive.1

The initiative is part of President Obama’s plan to have 50% of Medicare payments disbursed through …

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