Key takeaways from CJR year one results

Understanding the results of CMS's first mandatory bundled payment program

CMS recently released preliminary results of the payment reconciliation process for the performance year one of the Comprehensive Care for Joint Replacement (CJR) program. CJR is the first mandatory bundled payment program implemented by CMS, and the industry has been waiting for results with great anticipation since the program began in April 2016.

The results span from April 1, 2016 to December 31, 2016. CMS has classified all participants into four performance categories: excellent, good, acceptable, and below acceptable. All participants ranking above "below acceptable" were eligible to receive a positive reconciliation payment at the end of initial assessment.

It is important to note that the data released only includes hospitals meeting the acceptable performance category or above, and that the exact numbers may change after the final reconciliation is completed in the late spring of 2018.

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