HealthExecSnapshot
Friday February 9, 2018


Episode Payment Models: CJR Results and BPCI Advanced Opportunities

Episode Payment Models: CJR Results and BPCI Advanced Opportunities

CMS recently released Comprehensive Care for Joint Replacement (CJR) model results for Performance Year 1 (start dates between April 1st and September 30, 2016 and end dates on or before December 31st, 2016.) The CJR model is a mandatory bundled payment model in which 799 participating hospitals from 67 metropolitan statistical areas MSAs) were required to participate. Each episode begins with a lower extremity joint replacement procedure, and completes after 90 days post-discharge. There was no downside risk for Performance Year 1, but future years will include downside risk. Going forward, a recent CMS final rule will allow hospital participation in 33 of the 67 MSAs to become voluntary, which will result in fewer participating hospitals in the program. Please join us Wednesday, February 21, 2018 at 1 PM Eastern as Milliman's Pamela Pelizzari discusses CJR performance year one results and insights, requirements, challenges and opportunities regarding the newly announced BPCI Advanced Program.

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