doctor and patientIn a recent evaluation of Performance Years 1 and 2 for the Comprehensive Care for Joint Replacement (CJR) model, the Center for Medicare & Medicaid Innovation (CMMI) surveyed participant hospitals on the strategies they employed to improve care coordination toward the goal of reducing costs while maintaining quality.

Of the 196 hospital survey respondents:

  • 89% reported implementing same-day post-surgery ambulation and physical therapy
  • 81% reported scheduling follow-up appointments for all lower extremity joint replacement (LEJR) patients prior to discharge
  • 65% reported implementing repeated telephonic follow-up during the entire 90-day episode
  • 61% felt that physician engagement in care redesign activities had improved since the CJR model

According to the CMMI evaluation, “Many hospitals interviewees indicated the opportunity to prepare for future bundled payment models was a strong motivating factor in responding to the CJR model.” But achieving real success in bundled payments requires accurate and actionable data analysis – and MedBen Analytics offers the necessary reporting tools to help hospitals, health systems and other providers make a smart transition from fee-for-service to value-based care.

Additionally, as hospitals learn from the lessons of CJR and other models, so too does MedBen Analytics. Regular client feedback and internal observations based on our claims management experience enable us to make regular enhancing our software platform. Plus, we extend these lessons to improving our commercial bundled services as well.

For further information about how MedBen can help you develop bundled payment strategies, please contact Manager of Operations Cari L. Coventry at 800-423-3151, ext. 405 or