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In the FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Prospective Payment System (LTCH) Proposed Rule, CMS introduced CJR Expanded (CJR-X): a proposed nationwide, mandatory bundle payment model that would place every eligible acute care hospital at financial risk for 90-day lower extremity joint replacement (LEJR) episodes — with no defined end date. If finalized, CJR-X would transform what many hospitals viewed as a time-limited demonstration into a standing payment model, expanding episode accountability beyond prior geographic and participation limits.
In this one-hour session, hospital leaders and value-based care teams will learn:
• What’s coming: CJR-X participation requirements, episode design, target pricing, quality measurement and reconciliation.
• How CJR-X differs from prior models: Key changes from the original CJR Model and the current TEAM framework that materially affect hospital risk.
• What hospitals need to pressure-test now: Methodological gaps, operational challenges and areas where financial exposure could be underestimated.
This webinar is designed for hospital value-based care leaders who need a clear, policy-grounded understanding of how CJR-X could make LEJR bundled payments permanent and what potential model challenges will need to be addressed in future
rulemaking.
Speakers:
Alyssa Dahl, Vice President of Advanced Analytics, DataGen
John Kalamaras, Director of Business Intelligence Analytics, DataGen