Skip to main content

A new Medicare payment initiative offers patients and PTs a bundle of opportunities.

More than 1 million total hip and total knee procedures were performed in the United States in 2014, approximately half of which were covered under Medicare.1 Physical therapists (PTs) are integrally involved in the care of these patients, providing postoperative care services to the vast majority of them.2 So, it's no surprise that last fall PTs anxiously awaited the final rule on a 2016 model project announced by the Centers for Medicare and Medicaid Services (CMS) that bundles payment for lower extremity joint replacement surgery.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.

  1. Centers for Disease Control and Prevention. FastStats - Inpatient Surgery webpage. http://www.cdc.gov/nchs/fastats/inpatient-surgery.htm. Last updated April 29, 2015. Accessed January 5, 2016.
  2. Snow et al. Associations between preoperative physical therapy and post-acute care utilization patterns and cost in total joint replacement. J Bone Joint Surg Am. 2014;96(19). http://jbjs.org/content/96/19/e165. Accessed January 5, 2016.

You Might Also Like...

Feature

From Visits to Value

New payment models and a PT-led frailty pilot show how functional gains can improve outcomes and reduce costs across the care journey.

Article

Alternative Payment Models Under Medicaid

CMS also offers APMs focused on Medicaid beneficiaries. Here are the programs PTs need to know about.

Article

CMS Releases New Details on the ACCESS Model, Including Payment Structure

Note: This article was updated in April 2026 to include a link to CMS' directory of accepted ACCESS applicants. On Feb. 12, the Centers for Medicare &