TREND 1: HIP & KNEE REHABILITATION Enhance Your Position in the Shifting Post-Acute Care Landscape
CMS’s mandatory bundled payment for hip and knee joint replacements, the Comprehensive Care for Joint Replacement (CJR) model, is now in place. Hospitals and Post-Acute Care providers across the country are now closely looking at their joint replacement programs to include opportunities to improve clinical and financial outcomes, reduce rehospitalizations and improve successful discharges back to the community.
Understand What’s at Stake
CMS estimates that the average cost for post- operative hip and knee replacements ranges from $16,500 - $33,000 (CMS CJR Model). As hospitals look at Post-Acute Care providers to partner with, they will likely be considering historical costs of care across the continuum.
POST-ACUTE DISCHARGE LOCATIONS $ 67K $
According to 2012 and 2013 data analyzed by Avalere Health, data indicates the most costly are in-patient rehab facilities (IRF) and long-term care hospitals (LTCH). The least costly are providers of home health and home with family caregivers. Skilled Nursing and rehabilitation providers are usually well-equipped to care for both simple and complex post-operative hip and knee patients but are at risk for seeing those patients bypass their centers to go directly home. Skilled Nursing providers will need to look closely at their care models to find efficiencies that reduce cost and maintain or improve quality.
