Medicare is the Federal health insurance program for the nation's elderly. Part A of the program covers inpatient hospital services, inpatient care in skilled nursing facilities after hospitalization, home healthcare, and hospice care among other services. Part B of the program covers physician services, outpatient hospital care, diagnostic services, durable medical equipment, and ambulance services among other services. Part D provides coverage for prescription drugs.
Medicare continues to face both short-term and long-term fiscal challenges that impact both patients and providers. Issues related to Medicare payment and CMS include the Merit-Based Incentive Payment System (MIPS), Alternative Payment Models (APMs), Physician Fee Schedule, bundled payment programs like the Comprehensive Care for Joint Replacement (CJR) model, the Independent Payment Advisory Board (IPAB), and more.
For detailed information on MIPS, MACRA, and the Quality Payment Program, please visit www.aaos.org/qpp
Position Statements
TKA Toolkit
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CMS Guidance on TKA removal from the IPO
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AAOS-AAHKS Comments on CMS TKA Guidance
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AAOS FAQ re: 2018 Total Knee Arthroplasty and Inpatient Only List Changes
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AAHKS Outpatient TKA Selection Criteria
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AAHKS Position Statement on Outpatient Joint Replacement
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AAOS Letter to CMS on TKA Change
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AAOS Letter to Medicare Advantage Regarding Inpatient Coverage of TKA
Important Resources
Comment/Congressional Letters
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AAOS Executive Summary of 2020 Outpatient Prospective Payment System Proposed Rule
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AAOS Executive Summary of 2020 Medicare Physician Fee Schedule Proposed Rule
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AAOS Summary of 2020 Outpatient Prospective Payment System Proposed Rule
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AAOS Summary of 2020 Medicare Physician Fee Schedule Proposed Rule
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AAOS Summary of 2019 Physician Fee Schedule Proposed Rule
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AAOS Summary of 2018 OPPS and ASC Final Rule
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AAOS Summary of 2018 Physician Fee Schedule Final Rule
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AAOS CJR Webinar Handout
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AAOS CJR Summary Chart
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AAOS Comments on 2020 Outpatient Prospective Payment System Proposed Rule
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AAOS Comments on 2020 Physician Fee Schedule Proposed Rule
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AAOS-AAHKS Comments on CMS TKA Guidance
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AAOS Comment on Bundled Payment for Care Improvement (BPCI) Advanced
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AAOS Comments on Efficiency, Transparency, and Burden Reduction Proposed Rule
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AAOS Comments on Improving Care for Medicare Beneficiaries With Social Risk Factors
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AAOS Comments on Potentially Misvalued Codes in 2019 MPFS
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AAOS Comments on 2019 Hospital Outpatient Prospective Payment System Proposed Rule
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AAOS Comments on 2019 Medicare Physician Fee Scheduled Proposed Rule
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AAOS Comments to RFI: Interoperability & Electronic Healthcare Information Exchange through Possible Revisions...
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AAOS Comment Letter to Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration
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AAOS Comments on Inpatient Prospective Payment Systems Rule
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AAOS Congressional Letter on Healthcare Transparency
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AAOS Letter to Medicare Advantage Regarding Inpatient Coverage of TKA
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AAOS Letter to CMS on TKA Change
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AAOS Letter to CMS with BPCI Advanced Input
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AAOS Comments on Promoting Healthcare Choice and Competition