Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can...
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Accounting
Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can require lengthy recovery and rehabilitation periods. The Center for Medicare and Medicaid Innovation has created a mandatory bundled payment model to support more efficient care for beneficiaries, the Comprehensive Care for Joint Replacement Model, [CJR].
Please describe/discuss the general CJR model overview including the following:
1. Participants
2. MS-DRGs and episode definition
3. Pricing and payment
4. Opportunities for hospitals and collaborating providers such as physicians, orthopedic surgeons, anesthesiologists, post-acute providers and suppliers
5. Quality measurements
6. Gainsharing
7. Analytics for hospitals, physicians and collaborating partners
8. Impact on beneficiaries
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