Association Between Hospital Voluntary Participation, Mandatory Participation, or Nonparticipation in Bundled Payments and Medicare Episodic Spending for Hip and Knee Replacements.

Published on Aug 3, 2021in JAMA2.474
· DOI :10.1001/JAMA.2021.10046
Joshua M. Liao14
Estimated H-index: 14
(UW: University of Washington),
Atul Gupta6
Estimated H-index: 6
(UPenn: University of Pennsylvania)
+ 4 AuthorsAmol S. Navathe17
Estimated H-index: 17
(UPenn: University of Pennsylvania)
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Abstract
References5
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#1Joshua M. Liao (Leonard Davis Institute of Health Economics)H-Index: 14
#2Robin Wang (UPenn: University of Pennsylvania)H-Index: 6
Last. Amol S. Navathe (Leonard Davis Institute of Health Economics)H-Index: 17
view all 7 authors...
Abstract Background Medicare used the Comprehensive Care for Joint Replacement (CJR) Model to mandate that hospitals in certain health care markets accept bundled payments for lower extremity joint replacement surgery. CJR has reduced spending with stable quality as intended among Medicare fee-for-service patients, but benefits could “spill over” to individuals insured through private health plans. Definitive evidence of spillovers remains lacking. Objective To evaluate the association between C...
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#1Joshua M. Liao (Leonard Davis Institute of Health Economics)H-Index: 14
#2Mark V. Pauly (UPenn: University of Pennsylvania)H-Index: 85
Last. Amol S. Navathe (Leonard Davis Institute of Health Economics)H-Index: 17
view all 3 authors...
The Centers for Medicare and Medicaid Services continues to propose and implement alternative payment models (APMs) to shift Medicare payment away from fee-for-service and toward approaches that em...
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#1Amol S. Navathe (Leonard Davis Institute of Health Economics)H-Index: 17
#2Ezekiel J. Emanuel (UPenn: University of Pennsylvania)H-Index: 107
Last. Joshua M. Liao (Leonard Davis Institute of Health Economics)H-Index: 14
view all 14 authors...
Medicare has reinforced its commitment to voluntary bundled payment by building upon the Bundled Payments for Care Improvement (BPCI) initiative via an ongoing successor program, the BPCI Advanced ...
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Abstract Background In 2016, Medicare implemented Comprehensive Care for Joint Replacement (CJR), a national mandatory bundled-payment model for hip or knee replacement in randomly selected metropo...
Source
#1Amy Finkelstein (MIT: Massachusetts Institute of Technology)H-Index: 64
#2Yunan Ji (Harvard University)H-Index: 4
Last. Jonathan Skinner (Dartmouth College)H-Index: 87
view all 4 authors...
Importance Bundled payments are an increasingly common alternative payment model for Medicare, yet there is limited evidence regarding their effectiveness. Objective To report interim outcomes from the first year of implementation of a bundled payment model for lower extremity joint replacement (LEJR). Design, Setting, and Participants As part of a 5-year, mandatory-participation randomized trial by the Centers for Medicare & Medicaid Services, eligible metropolitan statistical areas (MSAs) were...
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