ValidCare works with hospitals to prepare and navigate the challenges of the Comprehensive Care for Joint Replacement (CJR) model. We can help you with the complex nature of this program and make it relatively simple to understand and implement.
April 1st marks the start of the five-year, Comprehensive Care for Joint Replacement (CJR) mandatory bundled payment model from the Centers for Medicare and Medicaid Services (CMS) for Medicare patients undergoing hip or knee joint replacement surgery. Hospitals in 67 MSAs will join their peers currently participating in the Bundled Payment for Care Improvement (BPCI) initiative.
ValidCare, LLC (Centennial, CO), the industry’s only patient experience network for surgical patients is excited to announce its partnership with Marcia Friesen & Associates, LLC (Chicago, IL), a global healthcare consulting firm specializing in customized orthopedic and healthcare solutions.
The Centers for Medicare & Medicaid Services (CMS) is effectively implementing a strategy to shift Medicare Fee-for-Service (FFS) payments to alternative reimbursement models. CMS proposed the first mandatory bundled payment model, i.e. the Comprehensive Care for Joint Replacement Model (CJR) in July as a 5-Year Program CY2016-2020.
In January, Health & Human Services (HHS) Secretary, Sylvia M. Burwell announced ambitious goals to transition Medicare hospital and physician payments from the fee-for-service structure towards value-based payments. The first goal was to achieve 30% of payments through alternate payment models like ACOs and bundled payments by 2016. Among many programs, one strategy to achieve this target was the Comprehensive Care for Joint Replacement (CJR) Model announced in July.
Prior to the September 8th deadline, CMS received in excess of 300 written comments on the Notice of Proposed Rule Making (NPRM) regarding CMS-5516-P Medicare Program; Comprehensive Care for Joint Replacement Payment Model for Acute Care Hospitals Furnishing Lower Extremity Joint Replacement Services, published in the Federal Register on July 14, 2015.
In a August 19th letter addressed to Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services (CMS), the Medicare Payment Advisory Commission (MedPAC) outlined their support of the proposed mandatory Comprehensive Care for Joint Replacement (CJR) Model.