Medicare's comprehensive care for joint replacement model increased public hospitals' inpatient length of stay.

ABSTRACT:

Background

The Comprehensive Care for Joint Replacement (CJR) model is an alternative Medicare payment model for joint replacement that mandated participation by hospitals in randomly selected Metropolitan Statistical Areas (MSAs). On average, the program decreased inpatient length of stay and increased home discharge rates. It is unclear if these effects differed based on hospital ownership type, even though ownership may impact care redesign opportunities.

Methods

We used the 2014-2017 California Patient Discharge Datasets. The study included 113,590 hospitalizations for hip and knee joint replacement from 287 hospitals in the treated and control MSAs in California. The primary outcomes were inpatient length of stay and home discharge rates. Home discharge status included

SUBMITTER: Kim N 

PROVIDER: S-EPMC11603975 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature