Effect of CJR bundled payment program on care delivery

Editor's Note

Participation in the Comprehensive Care for Joint Replacement (CJR) bundled payment program was associated with changes in care delivery and compensation practices, this study finds.

This survey of 73 orthopedic surgeons found that those practicing in CJR hospitals were more likely to report their hospitals had implemented programs aimed at improving postdischarge care or reducing costs.

Surgeons in CJR hospitals also were more likely to report that their hospitals provided incentives or some type of gain sharing.

CJR hospitals were not more likely to use programs to reduce costs or improve care during hospitalization.