In an attempt to encourage coordinated care, improve the quality of care and decrease costs for heart attack patients, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that introduces bundled payment models for cardiac services. HHS also proposed a new cardiac rehabilitation model and a pathway that helps physicians who are heavily involved in bundled payment models to qualify for incentives as part of the Quality Payment Program, which was proposed as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). "While we support the concept, it is important that bundled care models be carried out in such a way that clinicians are given the time and tools to truly impact patient care in the best ways possible," said Richard A. Chazal, MD, FACC, president of the ACC. "Changes in payment structures in health care can pose significant challenges to clinicians and must be driven by clinical practices that improve patient outcomes. We are optimistic that CMS will listen to comments, incorporate feedback from clinicians, and provide ample time for implementation of these new payment models." The ACC plans to review the proposals in detail before submitting recommendations to CMS. Read more on ACC.org.