Spending and quality after three years of Medicare’s bundled payments for medical conditions: quasi-experimental difference-in-differences study

To evaluate whether longer term participation in the bundled payments for care initiative (BPCI) for medical conditions in the United States, which held hospitals financially accountable for all spending during an episode of care from hospital admission to 90 days after discharge, was associated with changes in spending, mortality, or health service use.Quasi-experimental difference-in-differences analysis.US hospitals participating in bundled...