Bundled Payments (BPCI)
Expert articles and analysis related to bundled payments (bpci).
AI Summary — Last 7 Days
CMS is moving bundled payments back into the foreground through the expanded Comprehensive Care for Joint Replacement model, including publication of the CJR-X participant list, signaling renewed emphasis under the Trump administration on mandatory or quasi-mandatory episode accountability for high-volume orthopedic procedures (AHA). The model’s economics are getting more complex as hospitals prepare for gainsharing and physician-alignment strategies while also facing site-of-care pressure from Medicare’s inpatient-only list phaseout, which could push joint procedures outpatient and alter episode benchmarks, margins, and post-
Related Articles
CMS expands Comprehensive Care for Joint Replacement model
CMS expands Comprehensive Care for Joint Replacement model  Healio
Source: Hal Andrews blog post
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CMS releases list of participants in CJR-X payment model for joint replacement procedures
CMS releases list of participants in CJR-X payment model for joint replacement procedures  American Hospital Association
CJR-X: Improving Physician Alignment Through Gainsharing
CJR-X: Improving Physician Alignment Through Gainsharing  Forvis Mazars US
with a blog post adding context
From newsletter: Weekly Health Tech Reads 10/11/26 Weekly Health Tech Reads 10/11/26 Atrium's spat with North Carolina's State Health Plan; AI consumers, healthcare stores, and Megan Fox; 2027 Stars; ...
Fast outpatient shift expected from end of IPO list
The ongoing phaseout of Medicare’s inpatient-only list (IPO) likely will move many of those surgical procedures to outpatient settings with lower reimbursement. That expectation is based on site-of-ca...