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Published January 27, 2016

New PYA Infographic Helps Hospitals Realize CJR Opportunities

CCJR Threat or OpportunityPYA has released an easy-to-follow infographic highlighting opportunities and threats under the new Medicare Comprehensive Care for Joint Replacement Program.

Is your hospital preparing to realize its opportunities under the Comprehensive Care for Joint Replacement Program (CJR)?  Starting April 1, hospitals located in 67 metropolitan statistical areas will be subject to mandatory bundled payments for hip and knee replacement surgeries for traditional Medicare beneficiaries.

PYA has prepared a new CJR infographic  illustrating how these bundled payments will be calculated and the potential opportunities (bonuses) and threats (penalties).  The infographic also details 8 critical action items for hospitals wanting to fully realize CJR opportunities.

“The CJR infographic is a can’t-miss item for hospitals subject to mandatory bundled payments under CJR, both in terms of program detail and strategies,” said PYA Principal Martie Ross. “This simple illustration is part of our continuing efforts to educate providers about the latest regulations affecting their reimbursement.  We hope to demonstrate the opportunities that lie ahead for providers under alternative payment models.”

PYA recently released other key CJR-related guidance designed to help providers clear hurdles before the mandate takes effect.  “No Fooling: Mandatory Medicare Bundled Payments for Hip and Knee Replacements Start April 1” answers frequently asked questions related to the CJR program.  This guidance and an on-demand CJR webinar may be accessed from the PYA website, along with the infographic.

Given PYA’s experience with CJR’s older sibling, the Bundled Payment for Care Improvement (BPCI) model, and other alternative payment models, as well as a background in implementing clinically integrated networks and developing gainsharing and clinical co-management agreements, PYA is positioned to help providers meet the challenges of CJR.

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