With knee and hip replacements among the most common surgical procedures for Medicare patients—costing more than $7 billion for 400,000+ procedures in 2013 alone—the Centers for Medicare and Medicaid Services wants more accountability from hospitals for better outcomes.

CMS in a new proposed rule wants to launch a five-year program in which all acute care hospitals performing knee and hip replacement surgeries in 75 geographic regions will receive bundled payments for the procedures and submit a long list of data elements so the agency can better monitor readmissions rates and outcomes. The proposed program also covers knee and hip reattachment procedures.

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