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CMS: Medicare Program: Comprehensive Care for Joint Replacement Model Three-Year Extension and Changes to Episode Definition and Pricing; Medicare and Medicaid Programs; Policies and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

Federal Register
May 3, 2021
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) extending the length of the Comprehensive Care for Joint Replacement (CJR) model through December 31, 2024, by adding an additional 3 performance years. This final rule revises certain aspects of the CJR model including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements, and the appeals process. This final rule also extends the additional flexibilities provided to participant hospitals related to certain Medicare program rules. Includes information regarding rural hospital participation and time frames in which they can participate in the CJR model. This final rule is effective July 2, 2021.
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Legislation and regulations · Medicare · Reimbursement and payment models