CMS Publishes Year 1 Results for CJR Program, Mission Hospital Outperforms All North Carolina Hospitals

ASHEVILLE, N.C. (October 23, 2017) – Mission Health today applauded the remarkable achievements of Mission Hospital and the Asheville Surgery Center as the Centers for Medicare and Medicaid Services (CMS) recently published its Year 1 Results for the Comprehensive Care for Joint Replacement (CJR) Model.  Mission Hospital was one of only six hospitals in North Carolina to receive a quality performance rating of “Excellent.”  In addition, due to Mission’s successes in reducing overall Medicare spending, Mission was the highest rewarded health system in North Carolina and the 25th highest out of 382 participating systems in the United States.

“This latest CMS release simply affirms what we have known for a very long time – that Mission Health patients receive care among the highest quality and highest value in the nation that is routinely among or the very best in North Carolina,” said Ronald A. Paulus, MD, President and CEO of Mission Health. “The definition of value in healthcare is embodied by Mission’s BIG(GER) Aim: to get each person to their desired outcome, first without harm, also without waste and always with an exceptional experience for every patient, family and team member.”

The CJR model holds participant hospitals financially accountable for both the quality and cost of an episode of care while incentivizing increased care coordination among hospitals, physicians, and post-acute care providers. The model was designed by Medicare to improve quality of care and provider collaboration and reduce the overall cost of care for patients having a total hip or knee replacement.

In the CMS bundled payment model, hospitals are held to a single target price point for all aspects of care from the point of admission through 90 day’s past discharge.  By “bundling” the payments for an episode of care, hospitals, physicians, and other providers have an additional, financial incentive to work together to deliver the most effective and efficient care.  If costs exceed the target payment, hospitals must repay Medicare the difference.  Conversely, if hospitals are able to provide the episode of care at a cost lower than the target price, Medicare will pay hospitals the difference.

Hospitals may also earn additional payments from Medicare with exceptional quality ratings such as low infection rates, low hospital readmission rates, high HCAHPS scores (a patient satisfaction survey required by CMS), and high patient-reported outcomes.

Mission is one of those hospitals that outperforms the nation in complications and readmissions for Lower Extremity Joint Replacement (LEJR) patients having received an “Excellent” Quality Performance Rating, the highest rating given.

“I’m incredibly pleased by our results which I know are the result of the many remarkable physicians, nurses and other clinicians and support team members who make such great care possible,” said Jonathan Bailey, Chief Program Development Officer, Mission Health.  “I am privileged to have truly amazing teammates who share a passion to make care better for every patient, both clinically and financially.”


Mission Hospital, located in Asheville, N.C., is a not-for-profit hospital that serves as the regional referral center for tertiary and quaternary care in western North Carolina and the adjoining region. Mission Hospital is licensed for 730 beds and houses the region’s only dedicated Level II trauma center. It also includes Mission Children’s Hospital – the region’s only children’s hospital. The flagship hospital of Mission Health, Mission Hospital was ranked as one of the nation’s Top 100 Hospitals by Truven Health Analytics from 2009 to 2015. For more information, please visit


Mission Health, based in Asheville, North Carolina, is the state’s sixth-largest health system. For the fifth time in the past six years, Mission Health has been named one of the nation’s Top 15 Health Systems by Truven Health Analytics, an IBM Company and part of IBM Watson Health in 2017. We are the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital, and the region’s only dedicated Level II trauma center. With approximately 12,000 team members and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit or @MissionHealthNC.

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