The Coming of Mandatory Bundled Care: The Comprehensive Care for Joint Replacement Program (CJR)

On November 16, 2015, the Centers for Medicare and Medicaid Services (CMS) finalized the Comprehensive Care for Joint Replacement (CJR) model, its first mandatory bundled payment initiative. The final rule made several major changes to the CJR program, including that the program’s start date would be delayed to April 1, 2016 (a four-month delay).