Bundled Payments & APMs

In the last 24 hours, CMS has proposed an expansion of the Comprehensive Care for Joint Replacement (CJR) model, emphasizing mandatory participation and enhanced coordination between hospitals, home health agencies, and skilled nursing facilities. This move signals a significant push from the Trump administration to tighten care transitions and drive provider accountability across post-acute settings, with potential nationwide implications for Medicare payment and risk arrangements. The proposal directly impacts health systems, ACOs, and post-acute partners by intensifying collaboration requirements and accelerating the shift toward episode-based and value-driven reimbursement. Read more in Home Health Care News and [Skilled Nursing News](https://news.google.com/rss/articles/CBMiyAFBVV95cUxOaG1NVTRMcktjT21zNFNJVmZrYjFSeFVZekZ0c1VmY1R6Wl9IekMxVTNLc0xxUndnYThxb3ZjWVYxVEJXOFM3T043UkZYNGZ2ZDdOMGg1bUVBRVg2Y1Qzb2c5MmpROHJBb3dMTHNVLXlCaHZkdXJEM0xuaEhmRWdpMkRmN1BrOU1CcWh2MkJSUUtw