Bundled Payments (BPCI/CJR)
Expert articles and analysis related to bundled payments (bpci/cjr).
AI Summary — Last 7 Days
Over the past week, CMS—under the Trump administration—proposed a sweeping expansion of the Comprehensive Care for Joint Replacement (CJR) program, mandating nationwide participation for nearly all hospitals in episode-based bundled payment arrangements for joint replacement procedures starting October 1, 2027. The proposed "CJR-X" model intensifies focus on value-based care by formally requiring hospitals to coordinate closely with home health and skilled nursing providers, fundamentally shifting accountability for post-acute spending and outcomes across the care continuum (HFMA summary, Home Health Care News coverage). Policy dialogue, galvanized by HHS Secretary Robert F. Kennedy Jr.'s recent testimony, signals both opportunity and operational pressure for providers, with alignment across payers, ACOs, and population health leaders emerging as essential to succeed under the new mandatory bundled structure.
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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
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. ...
CMS proposes hospital pay bump, revived joint replacement model
CMS proposes hospital pay bump, revived joint replacement model  Modern Healthcare
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...