Dive Brief:
CMS has finalized a three-year extension to a joint replacement bundled payment model that has driven down the cost of procedures in recent years.
The next three-year phase will start on Oct. 1, later than originally planned due to COVID-19 but still earlier than AdvaMed pushed for in feedback to the original draft.
Cowen analysts expect orthopaedic device manufacturers to avoid pricing pressure from the initiative and go on to mitigate future downsides by selling more products to each customer.
Dive Insight:
CMS introduced the Comprehensive Care for Joint Replacement Model in 2016. Participants in the initiative receive a flat set of payments for each episode of care. Procedure costs fell at hospitals paid via CJR, leading CMS to propose extending the initiative by three years and revise aspects of the payment model.
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