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November 15, 2016

Expanding Payment Reform in Medicare: The Cardiology Episode-Based Payment Model

Author Affiliations
  • 1Department of Medicine, Massachusetts General Hospital, Boston
  • 2Harvard Medical School, Boston, Massachusetts

Copyright 2016 American Medical Association. All Rights Reserved.

JAMA. 2016;316(19):1973-1974. doi:10.1001/jama.2016.16146

Cardiovascular disease is the leading cause of death and disability in the United States, accounting for 1 in 4 deaths and more than $200 billion in direct and indirect costs annually.1 In July 2016, the Centers for Medicare & Medicaid Services (CMS) proposed a new episode-based payment model for myocardial infarction. This model aims to improve the quality and efficiency of cardiac care and helps move the United States toward CMS’s goal of having 50% of traditional Medicare payments in value-based models by 2018.