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Alternative, collaborative health care delivery systems are the wave of the future.

The Centers for Medicare and Medicaid Services, as well as commercial payers, are committed to moving to outcomes-based payment and tying business to new financial incentives.

These changes will impact all providers—if not now, then in the future (except possibly those operating cash-based practices).

This guide walks you through information you should know and steps to take as you consider participating in an alternative payment model, or APM, with particular focus on the Comprehensive Care for Joint Replacement model, also known as CJR. The CJR is the most widely used bundling model in the physical therapy profession.

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