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Lower extremity
joint replacements (LEJR) are one of the most frquent procedures for
Medicare patients. In 2013, there were more than 400,000 Medicare LEJR
inpatient primary procedures, costing more than $7 billion for
hospitalization alone. The average Medicare expenditure for LEJR
surgery, hospitalization, and recovery ranges from $16,500 to $33,000
across geographic areas. The Centers for Medicare and Medicaid Services have selected LEJR procedures for a new model to test bundled payment and quality measurement for an episode of care, to encourage providers to work together from initial hospitalization through recovery. The CMS Innovation Center announced the Comprehensive Care for Joint Replacement (CCJR) model on July 9, 2015. This model constitutes a mandatory shift to episode-based payment for certain lower extremity joint replacement services in specific regions throughout the country. The model requires inpatient facilities to take financial risk for a broad range of services that could be furnished to Medicare beneficiaries within a 90 day period following certain joint replacements. During this presentation, an overview will be given of the key features of the CCJR model. Examples of possible savings opportunities will be provided, and participants will learn how they can estimate the potential effect CCJR will have on their practice pattern and revenue cycle. Please join us on Thursday, August 13th at 2PM Eastern as Milliman’s Pamela Pelizzari conducts an expert, in-depth session on the Comprehensive Care for Joint Replacement model. Click here for detailed information and to register or call 209.577.4888. |
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