Published November 24, 2015

CCJR: Threat or Opportunity?

On November 24, CMS published its final rule implementing the Comprehensive Care for Joint Replacement (CCJR) payment model.  CMS is moving forward with converting a currently voluntary payment model – Bundled Payment for Care Improvement (BPCI) – into a regulatory mandate.  Starting April 1, 2016, all hospitals located in 67 specified metropolitan statistical areas – 788 hospitals in total – will become financially responsible for the total cost of care associated with hip and knee replacement surgeries for traditional Medicare beneficiaries.

To help understand how the CCJR program will operate and its impact on hospitals, physicians, and post-acute providers, PYA has prepared an easy-to-follow CCJR FAQ:  No Fooling: Mandatory Medicare Bundled Payments for Hip and Knee Replacements Start April 1.

We have also created an ON-DEMAND WEBINAR on the CCJR Program for your access. This webinar includes a step-by-step explanation of CCJR’s retrospective bundled payments, as well as strategies to prepare for the April 1 start date.

Given PYA’s experience with BPCI and other alternative payment models, as well as implementing clinically integrated networks and developing gainsharing and clinical co-management agreements, PYA is positioned to help you meet the challenges of CCJR.  With the support of the computational scientists from our affiliate company, PYA Analytics, we can navigate CMS data requests and translate your data into a manageable format, allowing strategic analysis to guide your CCJR work plan in order to best identify opportunity and avoid potential threat specific to your organization.

Please do not hesitate to contact PYA if you have specific questions regarding CCJR.  Please reach out to one of the authors listed below at (800) 270-9629.

Executive Contacts

Interested in Learning More?

Sign Up for Our Latest Thought Leadership!



    Select Your Subscriptions