How Orthopedic Bundled Payments Are Being Operationalized: a Conversation with Jim Gera (April 1st)
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Listen Now Today, CMS launched the agency's second bundled payment demonstration, a mandatory five-year initiative in approximately 800 hospitals nation-wide. It's titled, the Comprehensive Care for Joint Replacement (CJR). The CJR essentially reimburses hospitals a predetermined amount for a 90-day hip or knee surgical and rehab episode of care. CMS is emphasizing hip and knee replacement surgeries because they account for the single largest Medicare dollar amount and highest percent of annual 30 day episode spending. This demonstration follows CMS's voluntary Bundled Payment for Care Improvement (BPCI) demonstration that provides bundled payments for 48 care episodes (including hip and knee replacements) via four care model designs. How successfully hospitals, orthopedic surgeons and various post acute providers manage these care episodes will be important if CMS is to better control Medicare spending growth. (Listeners will recall I discussed moreover the theory of bundled payment arrangements with Harold Miller this past September 23rd.)
How Orthopedic Bundled Payments Are Being Operationalized: a Conversation with Jim Gera (April 1st)
How Orthopedic Bundled Payments Are Being…
How Orthopedic Bundled Payments Are Being Operationalized: a Conversation with Jim Gera (April 1st)
Listen Now Today, CMS launched the agency's second bundled payment demonstration, a mandatory five-year initiative in approximately 800 hospitals nation-wide. It's titled, the Comprehensive Care for Joint Replacement (CJR). The CJR essentially reimburses hospitals a predetermined amount for a 90-day hip or knee surgical and rehab episode of care. CMS is emphasizing hip and knee replacement surgeries because they account for the single largest Medicare dollar amount and highest percent of annual 30 day episode spending. This demonstration follows CMS's voluntary Bundled Payment for Care Improvement (BPCI) demonstration that provides bundled payments for 48 care episodes (including hip and knee replacements) via four care model designs. How successfully hospitals, orthopedic surgeons and various post acute providers manage these care episodes will be important if CMS is to better control Medicare spending growth. (Listeners will recall I discussed moreover the theory of bundled payment arrangements with Harold Miller this past September 23rd.)