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Research Letter
Health Care Policy and Law
October 22, 2018

Characteristics of Hospitals Exiting the Newly Voluntary Comprehensive Care for Joint Replacement Program

Author Affiliations
  • 1Center for Health Systems Effectiveness, Oregon Health & Science University, Portland
  • 2Department of Family Medicine, Oregon Health & Science University, Portland
  • 3Department of Healthcare Policy & Research, Weill Cornell Medicine, Cornell University, New York, New York
  • 4Department of Emergency Medicine, Oregon Health & Sciency University, Portland
JAMA Intern Med. Published online October 22, 2018. doi:10.1001/jamainternmed.2018.4743

In 2018, Medicare made participation in the Comprehensive Care for Joint Replacement (CJR) program, which had been mandatory for all hospitals in 67 metropolitan statistical areas (MSAs), voluntary in the 33 of 67 MSAs with the lowest historical costs. The CJR program was designed to hold hospitals accountable for the cost and quality of care during hip or knee replacement episodes, defined as hospitalization and 90 days of postdischarge care. We compared hospitals that stayed with the CJR program against those that withdrew. This information is important for understanding the effects of voluntary payment models.

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