On February 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule revising certain aspects of the Comprehensive Care for Joint Replacement (CJR) model including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements and the appeals process. CMS is proposing to extend the CJR model for an additional three years, through Dec. 31, 2023, but only to hospitals in the 34 metropolitan statistical areas in which participation was mandatory. Hospitals participating in the 33 “voluntary” MSAs, as well as all low-volume and rural hospitals that have elected to