Early Lessons on Bundled Payment at an Academic Medical Center.

ABSTRACT:

Introduction

Orthopaedic care is shifting to alternative payment models. We examined whether New York University Langone Medical Center achieved savings under the Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement initiative.

Methods

This study was a difference-in-differences study of Medicare fee-for-service patients hospitalized from April 2011 to June 2012 and October 2013 to December 2014 for lower extremity joint arthroplasty, cardiac valve procedures, or spine surgery (intervention groups), or for congestive heart failure, major bowel procedures, medical peripheral vascular disorders, medical noninfectious orthopaedic care, or stroke (control group). We examined total episode costs and costs by service category.

Results

We included

SUBMITTER: Jubelt LE 

PROVIDER: S-EPMC6046256 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature