Resources & Reports

Fact Sheet

Comprehensive Care for Joint Replacement (CCJR) Model

The Center for Medicare and Medicaid Services (CMS) proposed the creation and testing of a new payment model to be called the Comprehensive Care for Joint Replacement (CCJR) Model. The CCJR model is “to promote quality and financial accountability for episodes of care surrounding a lower-extremity joint replacement (LEJR) or reattachment of a lower extremity procedure” by testing “whether bundled payments to acute care hospitals for LEJR episodes of care will reduce Medicare expenditures while preserving or enhancing the quality of care for Medicare beneficiaries.”

Fact Sheet

Proposed Rule: Episode Payment Models

On July 25, CMS proposed three new Episode Payment Models (EPMs) that would reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions and speed recovery. Under the new model, acute care hospitals in certain geographic areas will participate in retrospective episode payment models targeting care for Medicare fee-for-service beneficiaries receiving services during acute myocardial infarction (AMI), coronary artery bypass graft (CABG) and surgical hip/femur fracture treatment (SHFFT). All care within 90 days of hospital discharge will be included in the episode of care under the waiver. Comment Deadline: October 3, 2016