Market Intelligence Resource | April 17, 2020
Medicare Program: Comprehensive Care For Joint Replacement Model Three-Year Extension & Changes To Episode Definition & Pricing
On February 24, 2020, the Centers for Medicare and Medicaid Services issued a proposed rule to revise certain aspects of the
Comprehensive Care for Joint Replacement (CJR) model including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements and the appeals process. In addition, for proposed performance years 6 through 8, it would eliminate the 50% cap on gainsharing payments, distribution payments, and downstream distribution payments for certain recipients . . .
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