Association between mandatory bundled payments and changes in socioeconomic disparities for joint replacement outcomes.

ABSTRACT:

Objective

To determine whether mandatory participation by hospitals in bundled payments for lower extremity joint replacement (LEJR) was associated with changes in outcome disparities for patients dually eligible for Medicare and Medicaid.

Data sources and study setting

We used Medicare claims data for beneficiaries undergoing LEJR in the United States between 2011 and 2017.

Study design

We conducted a retrospective observational study using a differences-in-differences method to compare changes in outcome disparities between dual-eligible and non-dual eligible beneficiaries after hospital participation in the Comprehensive Care for Joint Replacement (CJR) program. The primary outcome was LEJR complications. Secondary outcomes included 90-day readmissions and mortalit

SUBMITTER: Kilaru AS 

PROVIDER: S-EPMC11366957 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature