Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements.

ABSTRACT:

Importance

In 2016, the Centers for Medicare & Medicaid Services (CMS) launched its first mandatory bundled payment program, the Comprehensive Care for Joint Replacement (CJR) model, by randomizing metropolitan statistical areas (MSAs) into the payment model.

Objective

To evaluate changes in key economic and clinical outcomes associated with the CJR model.

Design, setting, and participants

A retrospective, national, population-based analysis of Medicare fee-for-service beneficiaries undergoing lower extremity joint replacement was conducted using 100% Medicare Part A data and 5% Medicare Part B data. Within an intention-to-treat framework, a difference-in-differences approach was used to compare Medicare spending, quality of care, volume of episodes, and patient selec

SUBMITTER: Haas DA 

PROVIDER: S-EPMC6547121 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature