Spending and quality after three years of Medicare's bundled payments for medical conditions: quasi-experimental difference-in-differences study.

ABSTRACT:

Objective

To evaluate whether longer term participation in the bundled payments for care initiative (BPCI) for medical conditions in the United States, which held hospitals financially accountable for all spending during an episode of care from hospital admission to 90 days after discharge, was associated with changes in spending, mortality, or health service use.

Design

Quasi-experimental difference-in-differences analysis.

Setting

US hospitals participating in bundled payments for acute myocardial infarction, congestive heart failure, chronic obstructive pulmonary disease (COPD), or pneumonia, and propensity score matched to non-participating hospitals.

Participants

238 hospitals participating in the Bundled Payments for Care Improvement initiative (BPCI) and

SUBMITTER: Rolnick JA 

PROVIDER: S-EPMC7298619 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature