Comment on CMS-2026-1256-0002

Summary: BJC Health System, representing over twenty hospitals, supports the proposed Expanded Comprehensive Care for Joint Replacement (CJR-X) model but advocates for making participation voluntary rather than mandatory. They request specific modifications to the rule, including "ramp-up" pathways for hospitals, more accurate "safety net" indicators, and the exclusion of Medicare Advantage data from certain quality reporting programs.