Making It Easier for Hospitals to Participate in, and Succeed Under, Bundled Payments

JAMA Network October 22, 2018
Daniel M. Blumenthal, MD, MBA

In 2016, the Center for Medicare and Medicaid Innovation (CMMI) launched the Comprehensive Care for Joint Replacement (CJR) program, a pilot evaluation of 90-day episode payments for lower-extremity joint replacements (LEJR).¹ Under the CJR model, a 5-year program, participating hospitals receive bundled payments for knee and hip replacements that subsume the index hospitalization and all spending for 90 days following this index hospital stay. Participation in the CJR program was initially mandatory for approximately 800 acute care hospitals in 67 metropolitan statistical...

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