Bundled Payment Models
Expert articles and analysis related to bundled payment models.
AI Summary — Last 30 Days
In the past 30 days, CMS under the Trump administration has proposed the nationwide, mandatory Comprehensive Care for Joint Replacement expansion (CJR-X), marking a significant structural shift back toward mandatory episode-based payment models and heightened accountability for hospitals across all Medicare regions. The CJR-X proposal would require hospitals to manage costs and outcomes for knee, hip, and ankle replacements, with particular emphasis on post-acute coordination with home health and skilled nursing providers, starting October 1, 2027—reshaping incentives and operational realities for VBC stakeholders, ACOs, and population health entities. This move signals CMS’s renewed commitment to downside risk and advanced alternative payment models, while raising operational and financial challenges for health systems and their partners in managing bundled care at scale [CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X)][CMS proposes mandatory hospital-bundled model for joint replacements].
Related Articles
Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain
Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain  MedCity News
CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X)
What Medicare’s joint replacement model expansion means for providers
What Medicare’s joint replacement model expansion means for providers  Modern Healthcare
Powering Value-Based Care with Clinician-Led, Patient-Centered Design: The MyHealth Bundles Program
Powering Value-Based Care with Clinician-Led, Patient-Centered Design: The MyHealth Bundles Program  NEJM Catalyst Innovations in Care Delivery
christian@revelaihealth.com
From newsletter: The Operator's Guide to CJR-X, the CMS Nationwide Mandatory Joint Replacement Bundle The Operator's Guide to CJR-X, the CMS Nationwide Mandatory Joint Replacement Bundle What the pr...
CMS proposes pushing Comprehensive Care for Joint Replacement Model nationwide
CMS proposes pushing Comprehensive Care for Joint Replacement Model nationwide  McKnights Home Care
CMS’ Proposed New CJR Model Aims to Drive Hospital, Skilled Nursing Coordination Nationwide
CMS’ Proposed New CJR Model Aims to Drive Hospital, Skilled Nursing Coordination Nationwide  Skilled Nursing News
CMS Proposes Expanded CJR Model, Calls For Hospital-Home Health Coordination
CMS FY27 rule expands bundled payments, adjusts Medicare inpatient reimbursement rate
For the first time, a value-based payment model is set to become mandatory for almost all hospitals nationwide. The expansion of the Comprehensive Care for Joint Replacement (CJR) bundled payment mode...
CMS proposes mandatory hospital-bundled model for joint replacements
CMS is proposing a mandatory, nationwide episode-based payment model for joint replacements that would hold most hospitals responsible for Medicare spending tied to a patient’s surgery and recovery. ...