In a widely anticipated statement, the Centers for Medicare & Medicaid Services (CMS) announced on November 16, 2015, the publication of a final rule that will require certain hospitals to participate in a bundled payment program for lower extremity joint replacements. The Comprehensive Care for Joint Replacement (CJR) program is designed to incentivize hospitals and contracted collaborators to actively share in reducing cost variation for joint replacements while improving quality and outcomes. These common orthopedic procedures can range in cost from $16,500 to $33,000, as noted by the announcement, and offer a significant opportunity for savings through reduced variation in utilization and more consistent care management. Continue reading
Amid healthcare’s continuing transition to value-based care delivery, many health systems are considering the possibility of developing bundled payment programs for single episodes of care. But making the decision to build these programs is only the first step. The second step is selecting the best service to bundle – and this is critical to ensuring success. In this article for Becker’s Hospital CFO, Jason Lee and Josh Neal offer a guide for choosing the right bundled service.
The Comprehensive Care for Joint Replacement (CCJR) program proposed by CMS in July 2015 is accelerating the pace of payment reform, and it’s ramping up pressure on hospitals to effectively manage patients and monitor costs for joint replacements.
In a prior blog post, we provided an overview of the proposed CCJR model. This post spells out the program structure and physician relationship parameters.