Association of the Mandatory Medicare Bundled Payment With Joint Replacement Outcomes in Hospitals With Disadvantaged Patients.

ABSTRACT:

Importance

Medicare's Comprehensive Care for Joint Replacement (CJR) model rewards or penalizes hospitals on the basis of meeting spending benchmarks that do not account for patients' preexisting social and medical complexity or high expenses associated with serving disadvantaged populations such as dual-eligible patients (ie, those enrolled in both Medicare and Medicaid). The CJR model may have different implications for hospitals serving a high percentage of dual-eligible patients (termed high-dual) and hospitals serving a low percentage of dual-eligible patients (termed low-dual).

Objective

To examine changes associated with the CJR model among high-dual or low-dual hospitals in 2016 to 2017.

Design, setting, and participants

This cohort study comprised 3 analyses

SUBMITTER: Kim H 

PROVIDER: S-EPMC6865278 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature