CMS proposes extending mandatory bundled payment model for joint replacements

• About 350 hospitals would be included in a proposed three-year extension of a mandatory bundled payment model.
• Most of the proposed changes were praised by hospital supporters and advisers.
• The changes would require increased efficiency for participating hospitals to avoid losing the average $1 million that would be at risk each year.

A large bundled payment program slated to expire at the end of 2020 would last three more years, according to a Medicare proposed rule.

The Centers for Medicare & Medicaid Services (CMS) on Feb. 20 issued a proposed rule that would implement several changes to the Comprehensive Care for Joint Replacement (CJR) model, which provides bundled payments to acute...