Bundled Payment Models
Expert articles and analysis related to bundled payment models.
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Over the past week, CMS under the Trump administration has proposed a nationwide, mandatory expansion of the Comprehensive Care for Joint Replacement (CJR-X) bundled payment model, signaling a significant escalation in Medicare’s value-based care strategy. This move positions Medicare as an aggressive driver of episode-based payment across all markets, but stakeholders are raising concerns about challenges with rapid operational scaling, provider readiness, and alignment around patient-centered bundle design, especially as implementation hurdles and AI-enabled care coordination surface. Additionally, policy testimony from HHS Secretary Robert F. Kennedy Jr. has reinforced that future Medicare payment reforms will continue to emphasize mandatory bundled payments, further embedding joint replacement episodes as a cornerstone of federal VBC initiatives (CMS proposes resurrection and nationwide expansion of mandatory joint replacement bundled payment model (CJR-X)).
Related Articles
Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain
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What Medicare’s joint replacement model expansion means for providers
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Powering Value-Based Care with Clinician-Led, Patient-Centered Design: The MyHealth Bundles Program
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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
Medicare payment policy changes for 2027: Key signals from Kennedy hearings
Amid ample rancor, some of the rhetoric during congressional appearances Thursday by HHS Secretary Robert F. Kennedy Jr. had substantive implications for healthcare industry stakeholders. During two H...
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