Bundled Payment Models
Expert articles and analysis related to bundled payment models.
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CMS is signaling a more durable, mandatory episode-based payment strategy under the Trump administration, with the Comprehensive Care for Joint Replacement model moving toward broader expansion through CJR-X after reported CJR savings of roughly $180 million and BPCI Advanced savings near $800 million. The strategic tension for hospitals, ACOs, and surgical groups is shifting from whether bundles persist to how they operationalize 90-day accountability, post-acute management, specialist alignment, and gainsharing—especially as commentary flags potential conflict between strong surgical episode savings and physician payment pressure. See: CJR savings and expansion and CJR-X readiness.
Related Articles
CJR Model's $180M savings pave way for nationwide expansion
CJR Model's $180M savings pave way for nationwide expansion  TechTarget
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation  Substack
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation BPCI Advanced saved Medicare about $800 million and CJR another $180 million. The largest per-episode savings ca...
Hospitals Are Standing Up CJR-X Task Forces. Five Things to Know Before Yours Meets.
Hospitals Are Standing Up CJR-X Task Forces. Five Things to Know Before Yours Meets. The model is mandatory, has no end date and starts January 1, 2028. How a hospital performs will be decided by what...
CMS expands Comprehensive Care for Joint Replacement model
CMS expands Comprehensive Care for Joint Replacement model  Healio
Why Some Hospitals Send Surgical Patients Back to Their Family Doctor and Others Don’t
Why Some Hospitals Send Surgical Patients Back to Their Family Doctor and Others Don’t  Bioengineer.org
CJR-X Is Final: Is Your Hospital Ready for 90 Days of Accountability?
In June, I wrote about the proposed Comprehensive Care for Joint Replacement Expanded (CJR-X) Model and its relationship to the Transforming Episode Accountability Model (TEAM). At that time, the disc...
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation
The Surgeon Payment Question: An Interactive Read of the BPCI Advanced Final Evaluation  Substack
Hospitals Are Standing Up CJR-X Task Forces. Five Things to Know Before Yours Meets.
Hospitals Are Standing Up CJR-X Task Forces. Five Things to Know Before Yours Meets.  Substack
Source: Hal Andrews blog post
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