CMS reported that in 2013, there were more than 400,000 lower extremity joint replacement procedures paid by Medicare. Costs exceeded $7 billion for hospitalization alone for those procedures. In addition, CMS states that the quality and cost of care for hip and knee replacement surgeries still vary greatly among providers in relation to outcomes and overall costs.
To study this more fully, Congress provided the Secretary of Health and Human Services (HHS) with the authority to expand the scope and duration of a model being tested through rulemaking, including the option of testing on a nationwide basis through the CMS Innovation Center. The CCJR Model is one such model that is in proposed rule status. A pre-selected 75 Metropolitan Statistical Areas and the facilities in those areas are already “signed up.” CMS is looking for comments regarding the proposals on this model before Sept. 8, 2015.