Bundled Payments (BPCI/CJR)
Expert articles and analysis related to bundled payments (bpci/cjr).
AI Summary — Last 30 Days
In the past 30 days, CMS under the Trump administration has proposed a mandatory, nationwide expansion of the Comprehensive Care for Joint Replacement model (CJR-X), requiring most hospitals to manage entire episode costs for knee, hip, and ankle replacements across surgery and recovery, effective October 2027. This sweeping shift signals an aggressive move toward large-scale episode-based payment, intensifying the pressure on hospitals, ACOs, and post-acute providers to coordinate care and manage downside risk across care settings, particularly involving home health and skilled nursing partners [CMS proposes mandatory hospital-bundled model for joint replacements, CMS proposes expanded CJR model, calls for hospital-home health coordination]. With anticipated episode payment discounts and increased financial accountability on providers, the new policy accelerates value-based care transformation and care delivery redesign while raising stakes for those unprepared to manage clinical and cost variation at scale.
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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
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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
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
CMS is proposing a mandatory, nationwide episode-based payment model for joint replacements that would hold most hospitals responsible for Medicare spending tied to a patient’s surgery and recovery. ...
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