Two-Year Evaluation of Mandatory Bundled Payments for Joint Replacement.

ABSTRACT:

Background

In 2016, Medicare implemented Comprehensive Care for Joint Replacement (CJR), a national mandatory bundled-payment model for hip or knee replacement in randomly selected metropolitan statistical areas. Hospitals in such areas receive bonuses or pay penalties based on Medicare spending per hip- or knee-replacement episode (defined as the hospitalization plus 90 days after discharge).

Methods

We conducted difference-in-differences analyses using Medicare claims from 2015 through 2017, encompassing the first 2 years of bundled payments in the CJR program. We evaluated hip- or knee-replacement episodes in 75 metropolitan statistical areas randomly assigned to mandatory participation in the CJR program (bundled-payment metropolitan statistical areas, hereafter referred

SUBMITTER: Barnett ML 

PROVIDER: S-EPMC6504974 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature