Structuring Comprehensive Care for Joint Replacements Collaborator Agreements

The CJR Model is a five-year mandatory bundled payment program for certain lower extremity joint replacement (LEJR) services provided to Medicare beneficiaries. The CJR Model went into effect on Apr. 1, 2016.

Hospital counsel will need to coordinate care with post-acute care providers and those healthcare professionals providing LEJR services in order to have success under the CJR Model. Implementing collaborator agreements will provide a way to align the incentives of the hospital and providers.

Counsel to hospitals and collaborators must carefully structure agreements to meet the CJR Model requirements. Collaborators such as physician group practices should consider gainsharing with members and the implications of a distribution agreement. Further, hospitals and collaborators should have plans in place for conducting audits to ensure compliance.

Listen as our authoritative panel of healthcare attorneys examines CJR collaborations. The panel will provide guidance on selecting collaborators, structuring the CJR collaborator agreement, complying with CJR collaboration requirements and auditing to ensure compliance.

1. CJR collaborations
2. Selecting collaborators
3. Structuring the CJR collaborator agreement
4. Complying with CJR collaboration requirements
5. Auditing arrangements to ensure compliance

The panel will review these and other key issues:

• What are the key operational and regulatory concerns for hospitals and healthcare providers participating in the CJR Model?
• What impact will collaborator distribution agreements have in the CJR process?
• What critical provisions should be documented when formalizing these arrangements?