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jdsupra.com /1 month ago

CMS Proposes Nationwide Expansion of Comprehensive Care for Joint Replacement Model

The Centers for Medicare & Medicaid Services (CMS) has proposed to reestablish and expand the Comprehensive Care for Joint Replacement (CJR) Model through a new "Comprehensive...

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hallrender.com /1 month ago

CMS Proposes Resurrection and Nationwide Expansion of Mandatory Joint Replacement Bundled Payment Model (CJR-X)

The first nationwide test of a mandatory episode-based payment model has been unveiled. In the Fiscal Year (“FY”) 2027 Inpatient Prospective Payment System (“IPPS”) Proposed Rule,...

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healthcare-economist.com /1 month ago

CMMI’s Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model Explained

In May 2025, CMS’s Center for Medicare & Medicaid Innovation (CMMI) unveiled it’s “Make America Healthy Again” vision. CMMI models focus on not only “protecting the federal tax...

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medcitynews.com /1 month ago

Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain

CMS is proposing to make its joint replacement bundled payment model mandatory nationwide. Experts say it is a logical step, but warn that mandatory participation could be challeng...

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natlawreview.com /2 weeks ago

ACCESS Model: Technology as Key to Managing Chronic Conditions

Providers caring for patients with chronic conditions have for years faced a persistent mismatch between how care is delivered and how Medicare pays for it. Managing chronic illnes...

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arthroplastyjournal.org /1 month ago

The CCJR® Gerard A. Engh, MD Excellence in Knee Research Award: Patient Factors Associated with Achieving Substantial Cl...

The Centers for Medicare and Medicaid Services (CMS) now require the collection of pre- and postoperative patient-reported outcome measures (PROMs) for elective inpatient Medicare...

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fiercehealthcare.com /1 month ago

CMS proposes 2.4% hospital pay increase, nationwide mandatory model rollout

The IPPS and LTCH Prospective Payment System proposed rule for FY2027 floats a roughly $1.4 billion annual rise in hospital payments, plus the first mandatory, nationwide test of a...

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jdsupra.com /2 weeks ago

ACCESS Model: Technology as Key to Managing Chronic Conditions

Providers caring for patients with chronic conditions have for years faced a persistent mismatch between how care is delivered and how Medicare pays for it. Managing chronic illnes...

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arthroplastyjournal.org /1 month ago

An Unsustainable Reimbursement Model: A 12-Year Analysis of Compensation for Revision Total Hip Arthroplasty

Revision total hip arthroplasty (rTHA) is a complex and resource-intensive procedure. However, physician and hospital compensations have not evolved to reflect such complexity. The...

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arthroplastyjournal.org /1 month ago

Comprehensive Cost Estimation of an Enhanced Recovery Pathway in Hip and Knee Arthroplasty Using an Expanded Time-Driven...

Total hip (THA) and total knee arthroplasty (TKA) are among the most frequently performed surgeries worldwide, creating a substantial financial burden. Enhanced Recovery After Surg...

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arthroplastyjournal.org /1 month ago

Hip and Knee Disability and Osteoarthritis Outcome Scores Minimal Clinically Important Differences Vary by Payer Type: I...

Recent mandates from the Centers for Medicare and Medicaid Services (CMS) have tied patient-reported outcome measure (PROM) metrics to hospital reimbursement for total hip (THA) an...

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healio.com /1 month ago

Reimbursement for one-stage exchange lags behind two-stage

NEW ORLEANS — Although one-stage exchange may effectively treat periprosthetic joint infection, results presented here showed reimbursement for one-stage exchange lags behind two-s...

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aha.org /1 month ago

CMS accepts more than 150 organizations for participation in ACCESS Model, extends application deadline

The Centers for Medicare &amp; Medicaid Services April 13 announced that more than 150 organizations have been accepted to participate in the launch of its Advancing Chronic Ca...

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natlawreview.com /1 month ago

Election Year Politics and Policy at CMMI: What Stakeholders Can Expect

Key Takeaways CMS’ Innovation Center is accelerating new payment and care delivery models as the Trump administration uses CMMI to advance health policy priorities. Current models...

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prweb.com /1 month ago

AristaMD Selected for Inaugural Cohort of Federal CMS ACCESS Model to Reshape Chronic Care Delivery

AristaMD has been selected to participate in the inaugural cohort of the CMS ACCESS Model, a 10-year federal initiative focused on improving outcomes for patients with chronic cond...

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healio.com /1 month ago

Successful outpatient TJA programs are ‘an iterative process’

Across the country, there is an increase in same day discharge and outpatient total joint arthroplasty programs.But according to Ugo N. Ihekweazu, MD, FAAOS, FAAHKS, chief of adult...

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aha.org /1 day ago

CMS finalizes changes to Increasing Organ Transplant Access Model

The Centers for Medicare &amp; Medicaid Services May 28 issued a final rule making changes to the Increasing Organ Transplant Access Model beginning July 1. IOTA is a six-year...

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arthroplastyjournal.org /3 weeks ago

Advanced Practice Providers in Total Joint Arthroplasty: A National Assessment Demonstrates Increasing Prevalence and Un...

Advanced practice providers (APPs) are increasingly involved in surgical care delivery. This study analyzed Medicare data for total joint arthroplasty services delivered by APPs an...

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aha.org /1 month ago

CMS seeks applicants for LEAD ACO Model

The Centers for Medicare &amp; Medicaid Services March 31 released a request for applications for its new accountable care organization model, the Long-term Enhanced ACO Design...

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healio.com /1 month ago

Remote therapeutic monitoring after TKA was safe, cost effective

NEW ORLEANS — Results presented at the American Academy of Orthopaedic Surgeons Annual Meeting showed remote therapeutic monitoring may be safe and cost effective for patients who...

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arthroplastyjournal.org /1 month ago

Navigating the Ambulatory Surgery Center Setting: How to Go from Operating to Thriving

This symposium described how hip and knee surgeons can thrive in the ambulatory surgery center (ASC) setting and focused on patient selection, patient care, efficiency, financial p...

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natlawreview.com /1 month ago

CMS Releases FY 2027 IPPS Proposed Update

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. This proposed...

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healio.com /2 weeks ago

Patient engagement platforms may provide cost benefit

Click here to read the Cover Story, “Patient engagement platforms: ‘The way of the future.’”The field of arthroplasty is changing. Physicians and implant companies are placing more...

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arthroplastyjournal.org /1 month ago

Towards Understanding the Differences Between Satisfaction and Improvement After Unicondylar and Primary Total Knee Arth...

While satisfaction is often used by clinicians to assess outcomes after knee arthroplasty, the Centers for Medicare & Medicaid Services (CMS) has defined a 20-point increase in...

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