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CMS Inaction on Outpatient Major Joint Replacement Threatens CJR and BPCI Advanced Participation

Submitted by jonpearce on Wed, 2018-01-17 14:03

Bundled payment episodes for major joint replacement (MJR) have been among the most successful "experiments" into the BPCI and CJR programs. Most BPCI participants in MJR episodes have been effective in reducing post-acute institutional utilization, and have achieved significant cost savings in these episodes. Among our clients participating in the CJR program, about 35% achieved savings that exceeded the stop gain limits; another 25% achieved savings that did not exceed the stop gain limits, and only 25% had losses.