The Centers for Medicare & Medicaid Services (CMS) has issued the attached final rule implementing the Comprehensive Care for Joint Replacement (CJR) model, in which acute care hospitals in certain selected geographic areas, including three in California, will receive retrospective bundled payments for episodes of care for hip and knee replacements. In response to comments from CHA and other stakeholders, CMS has delayed the date of the first performance period until April 1, 2016, rather than Jan. 1 as proposed.
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