Up to 60 percent of hospitals participating in Medicare’s mandatory new Comprehensive Care for Joint Replacement (CJR) reimbursement model, which began on April 1, 2016, could face financial penalties in year two of the CJR program when downside risk begins, based on an analysis from this past spring from Avalere, a health care advisory firm. It doesn’t need to be this way.
In this two-part series, we detail the steps that hospitals should take to successfully navigate through the new CJR model. In part one, we address background information on the CJR model and a list of internal steps for hospitals to take. In part two, we explore the role of post-acute care (PAC) networks in the CJR model, and the value of reviewing CJR data and metrics.