Skip to main content

CJR is a payment model being tested for episodes of care related to total knee and total hip replacements (MS-DRG 469 and 470) under Medicare. One track of the CJR model qualifies as an Advanced APM under QPP.

The model began April 1, 2016, was extended, and will run through December 31, 2024. CJR holds participant hospitals financially accountable for the quality and cost of an episode of care and incentivizes increased coordination among participating hospitals, physicians, and postacute care providers such as physical therapists. An episode of care begins with a patient’s hospital admission, continues upon hospital discharge, and ends 90 days postdischarge to cover the patient’s complete period of recovery.

As of August 2023, about 321 hospitals in various metropolitan statistical areas are participating in CJR. Physical therapists in these areas may be impacted.

Take a moment to learn about the model and determine if you should be thinking of marketing your practice to a CJR program.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

Article

Medicare Participation: You Have Options

Jun 25, 2025

First time enrolling in Medicare? Looking to change your participation status? This resource serves as your guide to the two types of Medicare participation

Article

APTA Champions Return of Bill to Expand Access to Pelvic Health Physical Therapy

Jun 24, 2025

APTA and APTA Pelvic Health are advocating to improve access to vital postpartum care, including pelvic floor physical therapy. This persistence is paying

Article

APTA Advocacy Leads to Direct Access for Millions Covered by Aetna

Jun 17, 2025

The Big Picture of Aetna’s Policy Change In response to ongoing advocacy efforts by APTA, Aetna has updated its physical therapy policy to provide unrestricted