Comprehensive Care for Joint Replacement
USC Arcadia Hospital (USC Arcadia Hospital) participates in a Medicare
initiative called Comprehensive Care for Joint Replacement (CJR). The
CJR model aims to promote quality and financial accountability for care
surrounding lower-extremity joint replacement (LEJR) procedures, commonly
referred to as total hip and knee replacements. MHSC’s participation
in the CJR model should not restrict your access to care or your freedom
to choose your health care providers and services. All existing Medicare
beneficiary protections continue to be available to you. These include
the ability to report concerns regarding substandard care to quality improvement
organizations and 1-800-MEDICARE.
The CJR model aims to help give you better care
USC Arcadia Hospital has entered into financial arrangements with collaborating physicians
(and potentially other health care providers) who are engaged in care
redesign with MHSC and who may furnish healthcare services to Medicare
beneficiaries during an episode of care. Under these agreements, MHSC
may share payments received from Medicare as a result of savings achieved
through reduced episode spending and hospital internal cost savings. MHSC
may also share financial accountability for increased episode spending
with collaborating providers and suppliers. The current list below represents
those physicians and other healthcare providers that have executed a CJR
Collaborator agreement with MHSC enabling each to share in financial rewards
and/or losses under the CJR model:
- Morris Baumgarten, MD
- Jonathan Chang, MD
- Yen Hsun Chen, MD
- Braden Criswell, MD
- Todd Dietrick, MD
- Rishi Garg, MD
- Gregory Heinen, MD
- Timothy Jackson, MD
- Daniel Laster, MD
- Vu Le, MD
- Alan Lee, MD
- Gregory Northrop, MD
- James O'Dowd, MD
- Shane Pak, MD
- John Quigley, MD
- Glenn Takei, MD
- Benjamin Tam, MD
- Anthony Yang, MD
The opportunity to participate as a CJR Collaborator is established in
accordance with all relevant laws and regulations, including applicable
fraud and abuse laws and all applicable payment and coverage requirements
as defined under the CJR program. Participation as a CJR Collaborator
is not based on patient volume or value of referrals or business otherwise
generated by any Collaborator.
The following criteria are utilized in the selection process of any physician
to become a CJR Collaborator:
- Physician must possess a valid and unrestricted license to practice medicine
in the State of California;
- Physician maintains clinical privileges at USC Arcadia Hospital, and is in good standing
on the medical staff of MHSC;
- Physician maintains unrestricted federal and state drug enforcement registration numbers;
- Physician maintains a participating provider agreement with Medicare and
is not excluded from participation in, or sanctioned by, any federal,
state, or local healthcare program, including without limitation, Medicare
and Medicaid.
- Physician must agree to participate in care redesign activities related
to the CJR Program.