Systematic Reviewhigh evidence
Impact of the Comprehensive Care for Joint Replacement Model on Spending and Care Endpoints: A Systematic Review.
The Journal of arthroplasty·July 14, 2026·PMID 42456787
Why it mattersOrthopedic surgeons and health systems participating in bundled payments need to understand CJR's real-world impact on costs, care patterns, and equity. The review highlights that savings were achieved largely by shifting post-acute care, but also reveals unintended consequences like patient selection and widening disparities, which are critical for designing future value-based care models.

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