CHA has issued the attached detailed summary, prepared by Health Policy Alternatives, Inc., on the Centers for Medicare & Medicaid Services (CMS) final rule implementing the Comprehensive Care for Joint Replacement (CJR) payment model. The summary is in addition to the previously issued executive summary of key provisions. CMS has finalized the start date for this program as April 1, 2016, a slight delay from the proposed start date of Jan. 1, 2016. The model will require participation from inpatient prospective payment system hospitals in three California metropolitan statistical areas: Los Angeles-Long Beach-Anaheim (Orange County and Los Angeles County); Modesto (Stanislaus County); and San Francisco-Oakland-Hayward (Alameda County, Contra Costa County, San Francisco County, San Mateo County and Marin County). A complete list of hospitals CMS believes to be subject to the CJR program is also attached.
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