Association of Medicare Mandatory Bundled Payment System for Hip and Knee Joint Replacement With Racial/Ethnic Difference in Joint Replacement Care.

ABSTRACT:

Importance

There are marked racial/ethnic differences in hip and knee joint replacement care as well as concerns that value-based payments may exacerbate existing racial/ethnic disparities in care.

Objective

To examine changes in joint replacement care associated with Medicare's Comprehensive Care for Joint Replacement (CJR) model among White, Black, and Hispanic patients.

Design, setting, and participants

Retrospective cohort study of Medicare claims from 2013 through 2017 among White, Black, and Hispanic patients undergoing joint replacement in 67 treatment (selected for CJR participation) and 103 control metropolitan statistical areas.

Exposures

The CJR model holds hospitals accountable for spending and quality of joint replacement care during care episodes

SUBMITTER: Kim H 

PROVIDER: S-EPMC7509636 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature