CMS Mandatory Bundled Payment Program for Joint Replacements yield early cost savings

March 25, 2019

An article in the New England Journal Of Medicine looked at results from the first two years of the Comprehensive Care for Joint Replacement (CJR) program by comparing results for joint replacements in large data sets.  The study compared data from hospitals participating in the bundled payment program (280,000 patients) to those not participating (377,000). Financial results showed that facilities in the CJR decreased institutional spending by 3.1% relative to those not participating.  Most of the savings were driven by a 5.9% relative decrease in the rate of transfer to post acute care facilities. Importantly, there were no significant differences in the rate of complications between the two test groups.

 

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