Medicare will press ahead with a new bundled payment policy for lower extremity joint replacements next year, CMS announced in a final rule issued Nov. 16.
 
The Comprehensive Care for Joint Replacement (dubbed CJR by CMS) model will be structured slightly differently than the agency proposed in July. Hospitals and providers in 67 geographic areas will be affected — not 75, as proposed — and “nearly all” hospitals in those areas will be required to participate.
 
Also, while CJR will take effect Jan. 15, 2016, the first of the program’s five experimental “model performance periods” won’t start until April 1.
 
During each of those periods, for the affected hospitals, physicians and post-acute providers, “all related care within 90 days of hospital discharge from the joint replacement procedure will be included in [a payment for] the episode of care,” CMS explained in the rule.
 
The purpose of CJR is to standardize cost and quality by incentivizing hospitals and physicians to better coordinate patient care. In 2014, the program paid more than $7 billion for hospital fees for more than 400,000 lower extremity joint replacements, CMS stated (HHL 7/27/15).
 
Related link: View the final rule at http://bit.ly/1HQEo2c