CMS finalizes hip, knee bundled payment program: 10 things to know

By Ayla Ellison

CMS has finalized a new payment model that holds acute care hospitals accountable for the quality of care they deliver to Medicare beneficiaries for hip and knee replacement from surgery through recovery.

Here are 10 things to know about the new Comprehensive Care for Joint Replacement Model.

1. Under the five-year CCJR program, hospitals will continue to be paid according to existing Medicare fee-for-service rules. However, the hospital where the surgery takes place will be held accountable for the quality and costs of care from the time of surgery through 90 days after discharge.


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