Bundles Are Back, Now Mandatory and Nationwide: A Builder's Field Guide to the New Companies, Tools, and Channels That Should Get Built Around CMS's CJR-X Lower-Extremity Joint Replacement Model

Thoughts on Healthcare Markets & Technology Podcast

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Bundles Are Back, Now Mandatory and Nationwide: A Builder's Field Guide to the New Companies, Tools, and Channels That Should Get Built Around CMS's CJR-X Lower-Extremity Joint Replacement Model

CMS just made bundled payment mandatory for joint replacement nationwide — here are six categories of companies that should get built.

May 04, 2026

∙ Paid

The FY27 IPPS proposed rule dropped on April 10, 2026 with CJR-X inside: the first ever mandatory, nationwide, episode-based payment model in US history. Every hospital that performs lower-extremity joint replacement will be in this model. There is no opt-out. This episode is a builder's field guide to what that creates.

We walk through six specific cate…

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