Some participants find positive results in CJR participation
Two recent articles explore positive impacts experienced by some providers participating in the Medicare Comprehensive Care for Joint Replacement (CJR) program. An article in Modern Healthcare notes that 47.8 of participants received gain-sharing payments for meeting cost and quality targets from April 1, 2016, to Dec. 31, 2016, with gain-sharing payments and quality bonuses of $37.6 million for 33,152 episodes of care—a strong increase over the $11 million expected when the program was proposed.
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The second article, in the Kansas City Business Journal, profiles two orthopedic practices that saw a 21 percent reduction in the average cost of joint arthroplasty procedures under the program, and a medical group that reported a 27 percent reduction in hospital readmission rates, a 43 percent reduction in surgical site infection, and a 72 percent reduction in deep vein thrombosis.
The American Association of Orthopaedic Surgeons (AAOS) supports the efforts of all stakeholders to develop payment models that incentivize care coordination and address rising healthcare costs. However, it has criticized the mandatory nature of the CJR program.
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