Abstract
The Centers for Medicare and Medicaid Services has proposed a Comprehensive Care for Joint Replacement program that would bundle payments for total hip and knee replacements, covering care through 90 days after discharge — and hospitals would be required to participate.
In July, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for a new Comprehensive Care for Joint Replacement (CCJR) program. The program would establish bundled payments for total hip and knee replacements, covering hospitalizations, professional fees, and all clinically related Medicare Part A and Part B services for 90 days after discharge, including skilled nursing facility care, home care, and hospital readmissions. CCJR is similar to another model CMS is testing called Bundled Payments for Care Improvement (BPCI), but whereas BPCI is voluntary, hospitals would be required to participate in CCJR. CMS proposes implementing the 5-year . . .