CJR-X: From Episode Rules to Rehabilitation Action

Description

*This webinar is scheduled for 7:00 PM ET / 4:00 PM PT

The Comprehensive Care for Joint Replacement Expanded (CJR-X) Model will make most eligible acute care hospitals nationwide accountable for the cost and quality of qualifying (elective and traumatic) hip, knee, and ankle replacement episodes beginning January 1, 2028. Accountability extends from the inpatient hospitalization or hospital outpatient procedure through 90 days after discharge, bringing rehabilitation, postacute routing, care transitions, patient experience, and functional outcomes directly into the hospital's performance equation. This webinar translates the FY 2027 Inpatient Prospective Payment System final rule into practical decisions for rehabilitation clinicians, case managers, nursing leaders, and hospital and postacute administrators. Learners will examine CJR-X payment and quality mechanics, compare pathways for four clinically distinct patient groups, and identify the infrastructure required to coordinate care across hospitals, home health, skilled nursing, and outpatient therapy. The emphasis is on achieving the safest recovery in the most appropriate, lowest-cost setting while protecting patient choice and avoiding underuse of medically necessary care.

Instructor

Learning Objectives

• Analyze the finalized CJR-X Model's scope, participant requirements, eligible lower-extremity joint replacement episodes, and 90-day accountability period to determine how the model changes responsibilities across the care continuum.
• Analyze how regional target prices, risk adjustment, the two-percent discount, the Composite Quality Score, and annual reconciliation determine a participant hospital's opportunity for payment or obligation to repay Medicare.
• Distinguish between the inpatient and outpatient CJR-X quality measures and identify operational practices that support complications, performance, patient experience, and patient-reported outcomes.
• Apply patient-specific clinical and social risk information to select safe, cost-effective rehabilitation and postacute pathways for low-risk elective, moderate-risk elective, high-risk elective, and unplanned fracture episodes.
• Construct a cross-continuum CJR-X readiness plan that defines the roles, data, care pathways, escalation processes, and performance expectations needed among hospitals, physicians, therapists, home health agencies, and skilled nursing facilities.

Agenda

All times in Eastern Time.

7:00pm–7:25pm

CJR-X: Scope and Financial Mechanics

7:25pm–7:50pm

Quality, Patients, and Clinical Pathways

7:50pm–8:10pm

From Rules to Action

8:10pm–8:15pm

Break

8:15pm–8:35pm

Q&A Session

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