Bundled Payments for Joint Replacements: What you should know about Medicare’s proposed payment model
Last week, CMS announced a proposed rule to create and test a new payment model called the Comprehensive Care for Joint Replacement (CCJR) Model. The intent of the CCJR model is to promote quality and financial accountability for episodes of care surrounding a lower-extremity joint replacement (LEJR) or reattachment of a lower extremity.
In simple terms, each LEJR will be considered an episode of care. The episode would include the LEJR procedure, inpatient stay and all related care covered under Medicare Parts A and B within the 90 days after discharge, including hospital care, post-acute care and physician services.