Key Takeaways CMS finalized the FY 2027 IPPS rule on July 31, 2026, setting a 2.3% payment rate increase for hospitals that meet quality reporting and EHR requirements CJR-X — a nationwide, mandatory expansion of the Comprehensive Care for Joint Replacement model — starts January 1, 2028, and will apply to nearly every acute care hospital performing hip, knee, or ankle replacements CJR-X carries two-sided financial risk: hospitals can earn reconciliation payments or owe CMS a
