Physician and Hospital Performance in Medicare's Updated Bundled-Payment Model for Joint Replacement.

ABSTRACT:

Importance

Independent evaluations of Bundled Payments for Care Improvement Advanced (BPCI-A) have focused on hospitals and have not assessed the performance of physicians in participating physician group practices (PGPs). However, PGPs are accountable for a larger proportion of surgical procedures, including for lower-extremity joint replacement, in the BPCI-A model than are hospitals.

Objective

To evaluate the association of treatment by BPCI-A-participating physicians and hospitals with health care spending, quality, and utilization for joint replacement procedures compared to nonparticipants.

Design, setting, and participants

This cohort study used Medicare claims of beneficiaries receiving lower-extremity joint replacement between April 2016 and September 2019 an

SUBMITTER: Crowley AP 

PROVIDER: S-EPMC12767874 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature