Quality Metrics & Performance (MIPS/CMS)
Expert articles and analysis related to quality metrics & performance (mips/cms).
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CMS has proposed the nationwide, mandatory CJR-X episode-based payment model for joint replacements, which will require most hospitals—effective October 1, 2027—to manage total Medicare spending across the entire joint replacement episode, including coordination with home health providers. This represents a significant expansion of bundled payment accountability, intensifying pressure on hospitals and post-acute partners to align cost, quality, and care transitions—raising the stakes for performance in MIPS and other value-based metrics. Read more: CMS proposes expanded CJR model, calls for hospital-home health coordination, Mandatory hospital-bundled model for joint replacements.
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