CJR-X Is Coming.
Is Your Organization Ready?
Prepare for Comprehensive Care for Joint Replacement Expanded (CJR-X) with the insights you need to understand episode performance, reduce practice variation and improve patient outcomes before the model takes effect.
Request an Opportunity Analysis
CJR-X Changes More Than Reimbursement—It Changes How Hospitals Must Deliver Care
The Comprehensive Care for Joint Replacement Expanded (CJR-X) model represents the next step in Centers for Medicare & Medicaid Services' (CMS) shift toward value-based care. Beginning in January 2028, eligible hospitals will be accountable for the quality and total cost of joint replacement episodes over a 90-day period. Organizations that begin preparing now can uncover opportunities to reduce practice variation, strengthen care coordination and improve both clinical and financial performance before CJR-X takes effect.
Premier's Bundled Payment Collaborative helps organizations move beyond simple compliance to comprehensive transformation. Backed by industry-leading analytics, national benchmarking and award-winning value-based care expertise, Premier provides the insights and guidance hospitals and healthcare systems need to optimize episode performance, reduce risk and succeed in an increasingly value-based, healthcare landscape.
The Biggest Challenge?
Most hospitals and healthcare systems do not know where their greatest opportunities exist.
Even organizations with successful orthopedic programs often struggle to answer questions like:
How do our joint replacement episodes perform compared to CMS benchmarks?
Which surgeons or care pathways consistently achieve the best outcomes?
How much cost variation is clinically justified versus discretionary?
How much are post-acute services contributing to episode spend?
Which improvement opportunities will have the greatest financial impact?
Start with a Checklist
Key Steps to Successfully Prepare for CJR-X:
- 1Benchmark your current joint replacement episode performance.
- 2Identify clinical and financial variation across the 90-day episode.
- 3Optimize care coordination across the acute and post-acute continuum.
- 4Strengthen physician engagement and standardized care pathways.
- 5Use analytics to monitor quality, utilization and total episode cost.
- 6Build a roadmap to improve performance before CJR-X becomes mandatory.
Premier Delivers Results that Matter
Your Path to CJR-X Readiness Starts Here
Preparing for CJR-X starts with understanding where your organization stands today as compared to your regional peers. Premier provides analytics, expertise and collaborative support to help your organization identify opportunities, improve episode performance and succeed under mandatory bundled payments.
Identify Your Opportunity
Episode Opportunity Analysis
Gain visibility into your current joint replacement episode performance and uncover opportunities to improve quality and optimize total cost of care.
Learn From Proven Leaders
Bundled Payment Collaborative
Connect with experts and peers who have experience navigating bundled payment models and gain actionable strategies to accelerate performance improvement.
Build a Long-Term Strategy
Premier Advisory Services
Access the expertise needed to transform care delivery, strengthen financial performance and prepare for the future of value-based care.
Understanding CJR-X: What Hospitals Need to Know
Prepare for CJR-X with Confidence
Prepare your organization for CJR-X by gaining a clear view of your current joint replacement episode performance. Premier's data-driven approach helps healthcare organizations identify cost and quality improvement opportunities, benchmark performance, and create a roadmap for success before the model takes effect.
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