Total Joint Replacement

Ochsner Clinic Foundation d/b/a Ochsner Medical Center (OMC) is participating in a Medicare initiative called the Comprehensive Care for Joint Replacement (CJR) model. The CJR model aims to promote quality and financial accountability for care surrounding lower-extremity joint replacement (LEJR) procedures, commonly referred to as hip and knee replacements and/or other major leg procedures. OMC’s participation in the CJR model should not restrict your access to care for your medical condition or your freedom to choose your health care providers and services. All existing Medicare beneficiary protections continue to be available to you. These include the ability to report concerns of substandard care to Quality Improvement Organizations and 1-800-MEDICARE.

The CJR model aims to help give you better care.

OMC has entered into financial arrangements with collaborating health care providers who are engaged in care redesign with the hospital and who may furnish healthcare services to Medicare beneficiaries during an episode of care. Under these agreements, OMC may share payments received from Medicare as a result of reduced episode spending and hospital internal cost savings with collaborating providers and suppliers. OMC may also share financial accountability for increased episode spending with collaborating providers and suppliers. The following list includes health care providers and suppliers that have established a collaborator agreement with OMC in order to share in financial rewards and/or losses in the CJR model:

Chad W. Millet, M.D.

Southern Orthopaedic Specialists

2731 Napoleon Avenue

New Orleans, LA 70115

September 1, 2018

Timothy P. Finney, M.D.

Southern Orthopaedic Specialists

2731 Napoleon Avenue

New Orleans, LA 70115

September 1, 2018

Gregor J. Hoffman, M.D.

Southern Orthopaedic Specialists

2731 Napoleon Avenue

New Orleans, LA 70115

September 1, 2018

Scott A. Tucker, MD
3434 Prytania St., Ste. 310

New Orleans, LA 70115
October 1, 2018
Richard L. Meyer, MD3434 Prytania St., Ste. 310

New Orleans, LA 70115
October 1, 2018
Douglas N. Lurie, MD3434 Prytania St., Ste. 310

New Orleans, LA 70115
October 1, 2018
Kevin M. Watson, MD3434 Prytania St., Ste. 310

New Orleans, LA 70115
October 1, 2018
Scott Habetz, MD2600 Belle Chasse Hwy., Ste I

Harvey, LA 70056
October 1, 2018
Neil Duplantier, MD
2600 Belle Chasse Hwy., Ste I

Harvey, LA 70056
October 1, 2018
Daniel Gallagher, MD
2600 Belle Chasse Hwy., Ste I

Harvey, LA 70056
October 1, 2018
Gustavo Godoy, MD2600 Belle Chasse Hwy., Ste I

Harvey, LA 70056

October 1, 2018

CJR Collaborator selection shall be made in accordance with all relevant laws and regulations, including the applicable fraud and abuse laws and all applicable payment and coverage requirements as defined for the CMS CJR program. Participation in a Collaborator Agreement will not be based on volume or value of referrals or business otherwise generated by the Collaborator.

The following criteria will be utilized in the selection process of physicians and physician group practice CJR Collaborators:

  • (i) Physician possesses a valid and unlimited license to practice medicine in the State of Louisiana;
  • (ii) Physician maintains clinical privileges and is in good standing on the medical staff of the Hospital;
  • (iii) Physician maintains unrestricted federal and state drug enforcement registration numbers; and
  • (iv) Physician maintains a participating provider agreement with Medicare and is not excluded from participation in, or sanctioned by, any state, federal or local healthcare program, including without limitation, Medicare and Medicaid.

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