Skip to Main Content

WASHINGTON — The Trump administration is canceling or scaling back an array of Obama-era programs that were aimed at encouraging doctors and hospitals to more quickly move away from traditional, fee-for-service medicine.

The Centers for Medicare and Medicaid Services moved to cancel pilot programs that would have paid certain hospitals a lump sum for all of the care associated with heart attacks, bypass surgeries, and some hip and femur fractures, including the initial visit, the surgery, and follow-up care. It’s canceling a similar program that targeted cardiac rehabilitation, and the agency is also proposing to drastically reduce the number of hospitals that have to participate in a separate program already underway that offers similar lump payments for hip and knee replacements.


The proposal, unveiled Tuesday, represents a sweeping rollback of some of the Obama administration’s most aggressive efforts to reduce Medicare spending and improve the quality of the care in the program, which covers more than 50 million older Americans. The programs all targeted the same idea: paying providers a lump sum would reduce any incentives for doctors or hospitals to encourage extra tests or services. All of the programs included checks to ensure hospitals were still providing high-quality care, and even rewarded some hospitals with bonuses if they met certain standards.

Unlock this article by subscribing to STAT+ and enjoy your first 30 days free!

  • Please tell me this isn’t happening,I only bring in 871.00 a month and and have medicaid to ,so I am looking at knee replacement soon what am I to do ,we paid in and now we get told to bad,your 61 and younger than most in Congress and so I don’t feel old but I can’t hardly walk now ,I don’t understand.

  • Without the care that I recieve from medi-care & medicaid, I am sure I will be in a world of constant pain and back in a wheelchair. This plan scares the shit out of me. Right now I live on, exist on, $472 a month.

Comments are closed.