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Target Pricing and Quality
Measure in the CJR Bundle
Wednesday October 26, 2016
2:00 - 3:30 PM ET
Member Rate: $89
Non-Member Rate: $120
*To Join PPS, Call 1-800-999-2782
Speakers:
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Description:
The Comprehensive Care for Joint Replacement (CJR) model aims to support better and more efficient care for beneficiaries undergoing the most common inpatient surgeries for Medicare beneficiaries. This model bundles payment and quality measurement for an episode of care associated with total knee (DRG 469) and total hip (DRG 470) rolled out in 67 different regions across the U.S. in April, 2016, and a new bundle being implemented; the Surgical Hip/Femur Fracture Treatment or (SHFFT) in July of 2017. This model encourages hospitals, physicians, and post-acute care providers (i.e. physical and occupational therapists) to collaborate to improve the quality and coordination of care from the initial hospitalization through 90 days post discharge from the hospital. Private practice physical therapists have a role to play in the model as a 'collaborator' with the anchor hospital. This webinar will discuss the CJR model, services included and excluded in the CJR model, quality measures, and target pricing. Financial risk arrangements, and impact of composite quality score in determination of bonus payment or repayment will be presented through case examples.
Course Objectives:
Upon completion of the presentation, participants should be able to:
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Describe the CJR bundle in terms of geography, conditions, services, length of bundle, and longevity of the program.
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Describe the CJR bundle by patient population, payment methodology, target pricing, and financial risk.
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Describe the required and voluntary quality measures in the knee and hip CJR bundle payment program.
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Describe the impact of quality measures on bundle alignment or reconciliation payment
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Identify the level of financial risk as a collaborator in CJR.
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