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Comprehensive Care for Joint Replacement: A Bundled-Payment Primer

By: Chase Doyle

DATE: May 5, 2017

SOURCE: http://www.anesthesiologynews.com/

anesthesiology news cjr bundled paymentsIn a push to support more efficient care for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) is implementing bundled payments and quality metrics for numerous clinical episodes, including hip and knee replacement surgeries.

At the Interdisciplinary Conference on Orthopedic Value-Based Care, Kelly C. Price outlined the fundamentals of the Comprehensive Care for Joint Replacement (CJR) model, which holds participating hospitals financially accountable for the cost and quality of a joint replacement “episode of care.”

“The rules of this bundle can dramatically affect the financial performance of your program, which is why it’s important to have policy reflection on your team,” said Ms. Price, vice president and chief of health care data analytics at DataGen, a HANYS Solutions Company, in Rensselaer, N.Y. “Hopefully, these new regulations will incentivize increased coordination of care from the initial hospitalization through recovery.”

 

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