Bundled Episode Payments
Expert articles and analysis related to bundled episode payments.
AI Summary — Last 7 Days
CMS’ proposed CJR-X expansion is drawing concentrated stakeholder pushback and operational preparation, with AHA, NAACOS, MedPAC-linked materials, Premier, and Forvis Mazars all focusing on how mandatory joint-replacement bundles should be designed, measured, and risk-adjusted under the Trump administration’s CMS leadership. The emerging tension is between CMS’ apparent push to scale episode-based accountability and hospitals’ concerns about chronic underpayment, quality-measure burden, target-price methodology, and overlap with TEAM and ACO arrangements; Premier specifically urged CMS to address hospital payment adequacy while refining TEAM, CJR-X, and quality policies in the FY 2026 IPPS rule comments (Premier comments). For VBC operators, the near-term signal is that bundled episode payments remain active policy terrain, requiring stronger data infrastructure, episode analytics, post-acute management, and physician alignment—capabilities emphasized in Forvis Mazars’ CJR-X readiness guidance (Forvis Mazars).
Related Articles
CJR-X: How Data-Driven Strategies Support Success
COMPREHENSIVE CARE FOR JOINT REPLACEMENT EXPANDED (CJR-X) - National Association of ACOs (NAACOS)
COMPREHENSIVE CARE FOR JOINT REPLACEMENT EXPANDED (CJR-X) National Association of ACOs (NAACOS)
CJR-X: How Data-Driven Strategies Support Success
CJR-X: How Data-Driven Strategies Support Success Forvis Mazars US
AHA recommends changes to CMS’ mandatory payment model for joint replacement procedures
AHA recommends changes to CMS’ mandatory payment model for joint replacement procedures American Hospital Association
AHA Comments on CMS' FY 2027 Proposed Joint Replacement Expanded Model
AHA Comments on CMS' FY 2027 Proposed Joint Replacement Expanded Model American Hospital Association
Proposed implementation of the Comprehensive Care for Joint Replacement Expanded model - MedPAC (.gov)
Proposed implementation of the Comprehensive Care for Joint Replacement Expanded model MedPAC (.gov)
Simplify, Scale, and Succeed in Bundled Payments for TPAs
Simplify, Scale, and Succeed in Bundled Payments for TPAs Cedar Gate Technologies
Premier Submits Comments on FY 2027 Medicare Inpatient Payment Proposed Rule
Premier urges CMS to address chronic hospital underpayment and offers detailed recommendations on the TEAM and CJR-X models, as well as quality measurement.
Special Report: The Oncology Care Model, 10 Years Later
Special Report: The Oncology Care Model, 10 Years Later AJMC