Last week, the Center for Medicare and Medicaid Services (CMS) released a proposed rule that would extend the Comprehensive Care for Joint Replacement (CJR) model for an additional three
years. CMS is modifying several components of the model in the proposed rule such as including Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA) outpatient procedures. These
procedures now account for roughly 25% of total knee replacements. Studies have shown this model to have overall success in lowering CJR episode payments by 3.7% and improving the quality of care for these services. CMS projects that these proposed changes could save the federal government $269 million over the three additional years. [Included] is more about the CJR model and what is changing.

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