On the morning of April 1, hospital executives in 800 hospitals in 67 selected market service areas across the U.S. will wake up to a new model of orthopedic bundled pricing.

The pending implementation of CMS’s Final Rule for the Comprehensive Care for Joint Replacement (CJR) model will force business model change on at least a portion of the healthcare delivery universe. Unlike the Bundled Payments for Care Improvement (BPCI) programs currently underway, there is no opt-out clause for CJR model participants. Consequently, the need for up-front planning and preparation, both internally and in guiding and formulating collaborative efforts with downstream provider partners, will be critical.

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