Bundled Payments
Expert articles and analysis related to bundled payments.
AI Summary — Last 30 Days
CMS is moving bundled payments back toward mandatory, national-scale accountability with CJR-X, a proposed successor/expansion of the Comprehensive Care for Joint Replacement model that would begin Oct. 1, 2027 and hold most hospitals accountable for Medicare episode spending around hip, knee, and ankle replacements, including post-acute recovery. The proposal signals a Trump administration push under CMS to make musculoskeletal episodes a larger proving ground for VBC, with hospitals needing tighter alignment with surgeons, ASCs, home health agencies, SNFs, and discharge-planning partners as episode risk shifts downstream (Hall Render; Home Health Care News). Strategic tension is building around mandatory participation, site-of-care migration, and post-acute utilization management: CJR-X could accelerate hospital-led MSK networks and home-based recovery models, but providers will need stronger data, preferred-partner contracting, and physician incentive structures to avoid downside exposure while preserving access and quality.
Related Articles
CMS Seeks to Expand Joint Replacement Care Model
CMS Proposes Nationwide Expansion of Comprehensive Care for Joint Replacement Model
CMS Proposes Nationwide Expansion of Comprehensive Care for Joint Replacement Model  Davis Wright Tremaine
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