CMMI Payment Models
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CMS finalized CJR Expanded, making joint-replacement bundled payments mandatory nationwide by 2028 and signaling that the Trump administration’s CMMI agenda is moving toward broader compulsory participation, not only voluntary models. The immediate implications are significant for hospitals, orthopedic groups, post-acute providers, and home health agencies: episode-cost management, discharge planning, and preferred-network strategies will become unavoidable operating priorities as CMS expands financial accountability across the full joint-replacement care continuum (Home Health Care News; JD Supra). Separately, provider groups are pressing CMS on adjacent implementation priorities—rural transformation funding, AI oversight, and workforce capacity—because those constraints will shape whether mandatory bundles
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AHA urges CMS to prioritize hospitals, providers with Rural Health Transformation Program funding  aha.org