Charlotte, NC offers plentiful metro and suburban amenities, professional sports teams (NFL, NBA, NASCAR, minor league baseball and hockey), fine dining, concerts, plays, cultural events, attractive living, attractive living for singles and families, family-oriented communities, businesses, fine dining, shopping, public and private schools, golf courses, etc. During a two-year period of the CMS Bundled Payment for Care Improvement (BPCI) pilot for adult joint replacements, we reduced Medicare spend by 17 percent and skilled nursing facility length-of-stay by 11 days.