Comprehensive Care for Joint Replacement (CJR), a mandatory program with winners and losers
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
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- Orthopedics
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Orthopedics