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HHS announced on March 20 that the effective date for the final rule for Advancing Care Coordination Through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model has been further delayed until May 20. This postpones the start date of the EPMs and the CR Incentive Payment Model for three months -- from July 1 to Oct. 1. According to HHS, the additional three-month delay "is necessary to allow time for additional review" and to ensure that the agency "has adequate time to undertake notice and comment rulemaking to modify the policy if modifications are warranted …" In response to the delay, ACC President Mary Norine Walsh, MD, FACC, stated that, "Creating value-based payment models for patients with cardiovascular disease is extremely challenging and the ACC has urged the CMS to proceed with great caution in implementing and testing these models." She added that, "This newest delay provides an opportunity to continue working with CMS to find ways to further refine and improve the effectiveness of the models' clinical and operational designs. The ACC's NCDR registries may be helpful in this effort. In the meantime, the College encourages members who are part of the model to continue to prepare for implementation." Read more on ACC.org.
Watch the new ACC Cardiology Hour, an expert roundtable discussion of late-breaking clinical trials from ACC.17. Valentin Fuster, MD, PhD, MACC, hosts Deepak L. Bhatt, MD, MPH, FACC; Anne B. Curtis, MD, FACC; Kim A. Eagle, MD, MACC; Michael J. Mack, MD, FACC; and Donna M. Mancini, MD, in a lively discussion on FOURIER, SPIRE 1 and SPIRE 2, EBBINGHAUS, SURTAVI, IFR-SWEDEHEART, and more. See the video at ACC.org/CardiologyHour. For more video coverage from ACC.17, visit ACC's YouTube Page and the FITsontheGO video blog.
Charles de Gaulle, military leader and statesman