NAUH Comments on Proposed Joint Replacement Program

Earlier this summer the Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation proposed a new “Comprehensive Care for Joint Replacements Model” (CCJR) program designed to foster better coordination of services and efficiency in the delivery of knee and hip replacements.

NAUH LogoIn a formal comment letter to CMS, the National Association of Urban Hospitals expressed support for the concept underlying the program but expressed concern about five specific aspects of the proposed program:

  • the program’s savings assumptions
  • the assignment of virtually all risk to hospitals
  • the breadth of services for which hospitals would be at risk
  • the program’s lack of socio-economic risk adjustment
  • the inclusion of non-elective joint replacement procedures


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