Cost, Quality, & Utilization

Over the past week, CMS proposed a sweeping expansion of mandatory bundled payments for joint replacements under the new CJR-X model, requiring nearly all hospitals nationwide to manage costs and care coordination for knee, hip, and ankle procedures starting in FY27—a move likely to intensify hospital accountability across cost, quality, and post-acute utilization (HFMA coverage, Home Health Care News). Simultaneously, technology vendors such as Persivia are accelerating efforts to curb ACO network leakage through value-based care platforms, signaling rising demand for solutions that address persistent structural challenges around care integration, utilization control, and revenue retention (TipRanks coverage).