On April 1, the Comprehensive Care for Joint Replacement Model model will begin to test bundled payment and quality measurement for hip and knee replacements and/or major leg procedures.
Healthcare Dive: What's the most important thing hospitals should be prepping to be successful for the April 1 launch of the CJR model?
Brian Fuller, naviHealth: Hospitals should spend a lot of time with data analytics to understand the historical quality, utilization, and spending among their CJR patients prior to the April 1 deadline. They should identify key financial risks and opportunities, understand post-acute care utilization, compare performance among providers in their market, and develop a 5-year financial projection model that takes into account performance improvement opportunity and regional target price. Using this analysis, post-acute care evaluation, and financial modeling, hospitals should identify three to five priorities to begin implementing prior to being subject to financial downside risk as of Jan. 1, 2017.