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Premier is encouraged by the Center for Medicare & Medicaid Innovation’s (CMMI) changes to the proposed three-year extension of the Comprehensive Joint Replacement (CJR) model. Hospital members of Premier’s Bundled Payment Collaborative participating in the CJR program have outperformed their peers by 30 percent in achieving savings payments and by 25 percent in achieving “excellent” quality scores in the most recently reported performance year.
CMS’ proposal to change the definition of an ‘episode of care’ to include outpatient procedures aligns with Premier’s recommendations. This change will help remove the current risk of lower performance in the program when conducting joint replacements in the most appropriate care setting, which might be outpatient. However, we’re concerned that CMS has limited the extension to only hospitals in the mandatory regions. We believe hospitals that have voluntarily chosen to participate and are invested in this model should be allowed to participate in the extension.
Contact: Public_Relations@premierinc.com