Bundled Payments & APMs
Expert articles and analysis related to bundled payments & apms.
AI Summary — Last 7 Days
Synthesis:
In the past week, CMS under the Trump administration has proposed making the expanded Comprehensive Care for Joint Replacement model (CJR-X) a mandatory, nationwide bundled payment program for knee, hip, and ankle replacements—requiring most hospitals to manage episode-based costs and coordinate closely with home health agencies and skilled nursing facilities starting October 2027. This shift toward compulsory participation and broader care coordination signals an assertive move to scale value-based care, drive post-acute integration, and standardize bundled payment accountability across the country, intensifying operational and financial pressures on hospitals and their downstream partners. These policy developments, outlined in the FY27 proposed rule, underscore CMS’ intent to expand risk-bearing payment models and accelerate transformation toward population health–oriented care delivery. See: CMS proposes mandatory hospital-bundled model for joint replacements and CMS FY27 rule expands bundled payments, adjusts Medicare inpatient reimbursement rate.
Related Articles
CMS’ Proposed New CJR Model Aims to Drive Hospital, Skilled Nursing Coordination Nationwide
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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
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