Lexology May 5, 2021
Reed Smith LLP

On May 3, 2021, the Centers for Medicare & Medicaid Services (CMS) published an 81-page final rule to both extend and change the Comprehensive Care for Joint Replacement (CJR) model. We previously reported on the proposed rule here. The CJR model was initially implemented by way of notice-and-comment rulemaking in April 2016; the recent final rule will extend the CJR model by an additional three years through December 31, 2024.

Purpose of CMS’s CJR Model

The CJR model is intended to target and minimize cost inefficiencies and support more robust care for Medicare beneficiaries who undergo hip and knee replacements—also known as lower extremity joint replacements (LEJR). According to CMS, LEJR are the most common inpatient surgeries performed on Medicare...

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Topics: Bundled Payments, CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Value Based
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