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Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers

Publication ,  Journal Article
Jiranek, W; Iorio, R
Published in: Seminars in Arthroplasty JSES
September 1, 2016

The Centers for Medicare and Medicaid (CMS) have continued to explore ways to decrease cost and increase quality in the provision of medical services. There is increasing concern that the current “fee-for-service” payment structure of American medicine may do neither. CMS has developed several programs aimed at incentivizing better quality at a lower spend, termed Alternative Payment Models (APMs). CJR is the largest, being implemented in 67 metropolitan regions. This is a mandated bundle payment where providers initially are not at risk, but hospitals control the bundle and are at risk. Clearly, in any program designed to curtail spending there will be losers and winners, “musical chairs” if you will. This article reviews the scope of services within the bundle, and predicts how specific stakeholders will do.

Duke Scholars

Published In

Seminars in Arthroplasty JSES

DOI

EISSN

1558-4437

ISSN

1045-4527

Publication Date

September 1, 2016

Volume

27

Issue

3

Start / End Page

193 / 195

Related Subject Headings

  • Orthopedics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jiranek, W., & Iorio, R. (2016). Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers. Seminars in Arthroplasty JSES, 27(3), 193–195. https://doi.org/10.1053/j.sart.2016.10.009
Jiranek, W., and R. Iorio. “Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers.” Seminars in Arthroplasty JSES 27, no. 3 (September 1, 2016): 193–95. https://doi.org/10.1053/j.sart.2016.10.009.
Jiranek W, Iorio R. Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers. Seminars in Arthroplasty JSES. 2016 Sep 1;27(3):193–5.
Jiranek, W., and R. Iorio. “Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers.” Seminars in Arthroplasty JSES, vol. 27, no. 3, Sept. 2016, pp. 193–95. Scopus, doi:10.1053/j.sart.2016.10.009.
Jiranek W, Iorio R. Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers. Seminars in Arthroplasty JSES. 2016 Sep 1;27(3):193–195.
Journal cover image

Published In

Seminars in Arthroplasty JSES

DOI

EISSN

1558-4437

ISSN

1045-4527

Publication Date

September 1, 2016

Volume

27

Issue

3

Start / End Page

193 / 195

Related Subject Headings

  • Orthopedics