CMS Finalizes Mandatory Bundled Payment Model for Lower Extremity Joint Replacements

McDermott Will & Emery
Contact

On November 16, 2015, the Centers for Medicare & Medicaid Services (CMS) released final regulations implementing the Comprehensive Care for Joint Replacement Model, its five-year mandatory bundled payment program for hip and knee replacements (CJR Model or Model). All acute care hospitals in 67 designated metropolitan service areas (MSAs), with limited exceptions, will be required to participate in the Model. The bundled episode will consist of virtually all related care from a beneficiary’s admission to a participant hospital for a lower extremity joint replacement or reattachment of lower extremity (LEJR) procedure to 90 days following hospital discharge.

The Model offers further evidence of the expansive statutory authority of the Center for Medicare & Medicaid Innovation (CMMI) under section 1115A of the Social Security Act and provides a critical lens into one method available to the Secretary of the U.S. Department of Health and Human Services to achieve the Department’s ambitious goal to shift 50 percent of Medicare fee-for-service payments into value-based alternative payment models by the end of 2018.

Please see full Report below for more information.

LOADING PDF: If there are any problems, click here to download the file.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© McDermott Will & Emery | Attorney Advertising

Written by:

McDermott Will & Emery
Contact
more
less

McDermott Will & Emery on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide

This website uses cookies to improve user experience, track anonymous site usage, store authorization tokens and permit sharing on social media networks. By continuing to browse this website you accept the use of cookies. Click here to read more about how we use cookies.