Early Effects of Medicare's Bundled Payment for Care Improvement Program for Lumbar Fusion.

ABSTRACT:

Study design

Retrospective analysis of Medicare claims linked to hospital participation in the Center for Medicare and Medicaid Innovation's episode-based Bundled Payment for Care Improvement (BPCI) program for lumbar fusion.

Objective

To describe the early effects of BPCI participation for lumbar fusion on 90-day reimbursement, procedure volume, reoperation, and readmission.

Summary of background data

Initiated on January 1, 2013, BPCI's voluntary bundle payment program provides a predetermined payment for services related to a Diagnosis-Related Group-defined "triggering event" over a defined time period. As an alternative to fee-for-service, these reforms shift the financial risk of care on to hospitals.

Methods

We identified fee-for-service beneficiaries ove

SUBMITTER: Martin BI 

PROVIDER: S-EPMC5839918 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature