CMS extends joint replacement bundled payments program

Orthopedic

CMS extended the comprehensive care for joint replacement model through December 2024 for hospitals in the mandatory reporting regions.

CMS also expanded the program to include joint replacements performed in the hospital outpatient department in a final rule published April 29. The estimated net savings for lower extremity joint replacements in the first three years of the program reached $61.6 million, driven by lower use of post-acute care.

The agency revealed plans to update the target price calculation in the final rule. Going forward, CMS will consider the last year of claims data as the basis for the target price, instead of considering three years of claims data.

Click here to read more about the final rule.

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