The CJR Model is a Medicare Part A and B payment model that holds participant hospitals financially accountable for the quality and cost of a CJR episode of care and incentivizes increased coordination of care among hospitals, physicians, and post-acute care providers. Please find in the ‘Additional Information’ section at the bottom of this page, a short video describing the CJR Model and the findings of the third Evaluation Report. The model began on Apand will run through December 31, 2024, representing eight performance years (PYs). The CJR Model was implemented and modified through notice and comment rulemaking with the relevant final rules discussed below.
Hip and knee replacement are the most common surgeries for Medicare beneficiaries and by providing participating hospitals with bundled payments for these procedures, as well as ankle replacements, the CJR Model encourages hospitals, physicians, and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization or outpatient procedure through recovery.
The Comprehensive Care for Joint Replacement (CJR) Model is designed to improve care for Medicare patients undergoing hip and knee replacements (also called lower extremity joint replacements or LEJR) performed in the inpatient or outpatient setting and for total ankle replacements performed in the inpatient setting.