Hip and knee replacements are the most common surgeries for Medicare beneficiaries.

This model tests bundled payment and quality measurement for an episode of care associated with lower extremity joint replacements to encourage hospitals, physicians and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization through recovery.

How we can help

We’ll help you closely monitor your performance, maximizing success in CJR.

Timeline

CJR has been largely successful, resulting in a three-year extension through December 2024 for hospitals with mandatory participation status.

We offer

  • Opportunity Analysis for Bundled Payments

    Providers need a deep understanding of their population before considering participation in an alternative payment model or alignment with providers who have at-risk arrangements. DataGen simulates episodes of care for every healthcare provider in the country to help them understand volume, expenditures and utilization in an episode framework for BPCIA and CJR programs.

  • Performance Period Monitoring for Alternate Payment Model

    We work with providers across the country participating in alternative payment models. DataGen provides key insight and consultation to help hospitals, health systems, post-acute and other healthcare providers evaluate new programs and monitor how effectively their strategies are working to ensure financial stability and high quality care.

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