CMMI Payment Models
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CMSâs CJR-X joint replacement expansion is drawing immediate scrutiny from hospitals, post-acute providers, and clinical groups over how episode-based payment risk is assignedâespecially concerns that therapy services may be undercounted or âinvisibleâ in model designâwhile reinforcing the Trump administration CMSâs broader push toward mandatory bundles and specialty episodes. For VBC leaders, the near-term implication is operational: orthopedic episode governance, post-acute network management, gainsharing, and documentation strategies need recalibration as CMS expands joint replacement accountability and stakeholders press for model refinements (Cedar Gate takeaways on CJR-X; provider concerns on therapy risk
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