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Publications

Association of Hospital Participation in a Medicare Bundled Payment Program With Volume and Case Mix of Lower Extremity Joint Replacement Episodes.

Navathe AS, Liao JM, Dykstra SE, Wang E, Lyon ZM, Shah Y, Martinez J, Small DS, Werner RM, Dinh C, Ma X, Emanuel EJ

Published

September 3rd, 2018

Appears In

JAMA

External Link

External Link

Abstract

Medicare's Bundled Payments for Care Improvement (BPCI) initiative for lower extremity joint replacement (LEJR) surgery has been associated with a reduction in episode spending and stable-to-improved quality. However, BPCI may create unintended effects by prompting participating hospitals to increase the overall volume of episodes paid for by Medicare, which could potentially eliminate program-related savings or prompt them to shift case mix to lower-risk patients.

Researchers

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