Can vertically integrated health systems provide greater value: The case of hospitals under the comprehensive care for joint replacement model?

ABSTRACT:

Objective

We aim to assess whether system providers perform better than nonsystem providers under an alternative payment model that incentivizes high-quality, cost-efficient care. We posit that the payment environment and the incentives it provides can affect the relative performance of vertically integrated health systems. To examine this potential influence, we compare system and nonsystem hospitals participating in Medicare's Comprehensive Care for Joint Replacement (CJR) model.

Data sources

We used hospital cost and quality data from the Centers for Medicare & Medicaid Services linked to data from the Agency for Healthcare Research and Quality's Compendium of US Health Systems and hospital characteristics from secondary sources. The data include 706 hospitals in 67 metro

SUBMITTER: Machta RM 

PROVIDER: S-EPMC7375995 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature