In addition to providing insights to help health systems improve their performance under the bundled payment models, MedBen Analytics also offers Comprehensive Care for Joint Replacement (CJR) gainshare distribution services. For an additional fee, we can administer the allocation of profits resulting from high-quality, cost-effective care between the hospital and its collaborators.
If your facility earned a Performance Year 1 (PY1) reconciliation payment from the Centers for Medicare and Medicaid Services (CMS), MedBen Analytics will calculate the gainshare distribution based upon the facility’s collaborator agreement and disperse funds to eligible collaborators.
Please note that CJR gainshare distribution takes place just once every 12 months following each performance year reconciliation (i.e., for 2017, based on episodes that ended on or before December 31, 2016). Additionally, if a facility submitted a Calculation Error (CE) Form to CMS to appeal a finding in the PY1 report, gainshare distribution will be delayed until the appeal process has been finalized.
To set up gainshare calculation and distribution services or for additional information, please contact MedBen President & COO Kurt Harden at 888-633-2364 or email medbenanalytics@medben.com.