Unintended Consequences of CJR

Could a  value-based program intensify care disparities?

  Bundled payments are not only here to stay, they are now  being mandated in specific geographic regions, under the Comprehensive Care for  Joint Replacement (CJR) program. Although the intent of this payment strategy  is to drive value in health care, a likely unintended consequence may be to  decrease access to surgical care for certain high-risk patients.

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