Bundled Payments & Alternative Payment Models
Expert articles and analysis related to bundled payments & alternative payment models.
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Over the past week, CMS proposed a major policy shift by reviving and expanding the Comprehensive Care for Joint Replacement (CJR) model—now termed CJR-X—into a nationwide, mandatory bundled payment program for lower extremity joint replacements, with a specific emphasis on coordinated hospital, post-acute, and home health care. This move under the Trump administration signals a renewed commitment to mandatory value-based payment models, raising both operational questions for providers and strategic considerations for payers and ACOs, given the broad scope and potential integration of AI-enabled care redesign. Concurrently, HHS Secretary Robert F. Kennedy Jr.'s congressional testimony underscored anticipated adjustments in Medicare payment policy for FY27, highlighting evolving budgetary priorities and the centrality of bundled and alternative payment models in future reimbursement structures. (Hall Render, HFMA)
Related Articles
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
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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
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
Inpatient and long-term care hospitals get proposed 2.4% payment increase
Hospitals get a 2.4% rate increase for inpatient payments in a proposed rule released on Friday.
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...
CMS proposes 2.4% IPPS bump, joint replacement model expansion
CMS proposes 2.4% IPPS bump, joint replacement model expansion  TechTarget