What is the focus of the Comprehensive Care for Joint Replacement (CJR) model and why?

• A. Hip and knee replacement bundled payment; aim to reduce costs while maintaining quality via coordinated care.
• B. Stroke care bundle for neurological outcomes.
• C. Cardiac stent bundles to reduce procedure costs.
• D. Pediatrics vaccines bundled for preventive care.

Answer: (A)

Focused on bundled payments for hip and knee replacement episodes, the Comprehensive Care for Joint Replacement model aims to reduce costs while maintaining or improving quality by coordinating care across the entire episode. It pools payments for the hospital stay and the 90 days after discharge, bringing together hospital, physicians, and post-acute care providers so they work as a team to manage the whole care journey, control complications, and minimize unnecessary services. This alignment of incentives encourages efficient preoperative planning, discharge planning, and post-acute care decisions without compromising outcomes. The other options describe bundles for conditions that aren’t joint replacement, so they’re not the focus of this model.