Episode Payment Models: CJR Results and BPCI Advanced Opportunities

CMS released Comprehensive Care for Joint Replacement (CJR) model results for Performance Year 1 (episodes with start dates between April 1st and September 30, 2016 and end dates on or before December 31st, 2016.) The CJR model is a mandatory bundled payment model in which 799 participating hospitals from 67 metropolitan statistical areas (MSAs) were originally required to participate. Each episode begins with a lower extremity joint replacement procedure, and completes after 90 days post-discharge. There was no downside risk for Performance Year 1, but future years will include downside risk. Going forward, a recent CMS final rule will allow hospital participation in 33 of the 67 MSAs to become voluntary, which will result in fewer participating hospitals in the program.

Event Date: Wednesday, February 28, 2018

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Category(s): Value Based Care

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