1. Episode Payment Models: A Primer For Cardiology
Sunny Jhamnani, MD, an ACC Emerging Advocate

2. Episode Payment Models (EPMs)
Acute Myocardial Infarction (AMI) Model
Coronary Artery Bypass Graft (CABG) Model
Cardiac Rehab (CR) Incentive Payment Model

3. EPM Rulings
Proposed rule (August 2016)
Final rule (December 2016)

4. What You Need to Know About EPMs
Hospitals within the 98 pre-selected MSAs will be participating for a performance period of July 1, 2017, to Dec. 31, 2021
The acute-care hospitals are financially responsible for episodes
Cardiovascular physicians and professionals will be paid for services based on current Part B rates

5. What You Need to Know About EPMs
Hospitals that achieve both an acceptable or better quality composite score as well as spend below the quality adjusted target price will be eligible to receive a reconciliation payment
AMI and CABG EPMs will allow clinicians to be able to qualify for Advanced Alternative Payment Models under MACRA

6. What You Need to Know About EPMs
Hospitals will receive an additional $25 for each CR or Intensive CR service for the first 11 services paid by Medicare, which will increase to $175 for each CR service after the 11th