Last year, a majority of hospitals expected to lose money in Medicare's mandatory bundled-payment program for hip and knee replacement procedures. According to this HealthLeaders article, the outlook appears to have brightened — slightly.
While savings expectations remain low for Medicare CJR bundling participants, Navigant’s Chris Stanley, M.D. said opportunities exist if providers focus on post-acute use: narrowing down the number of SNFs that a hospital uses based upon quality, and SNF length of stay and ability to collaborate. "It's a bit early to generate a broad view of how hospitals are performing in 2017 when downside penalties kick in, though we expect many hospitals will incur a penalty under the program in 2017. Hospital preparedness to participate effectively in CJR has improved, but more work is needed."