On November 16th, the Centers for Medicare and Medicaid Services (CMS) issued a final rule to establish the Comprehensive Care for Joint Replacement (CJR) Model to test mandatory retrospective bundled Medicare payments for hip and knee replacements, referred to as lower extremity joint replacements (LEJRs). The first performance year (PY) for the five-year model will begin on April 1, 2016, instead of January 1, 2016, as originally proposed.
The attached document summarizes major provisions of the final rule. The final rule is available here.