The Costs of Breast Reconstruction and Implications for Episode-Based Bundled Payment Models.

ABSTRACT:

Background

Implementation of payment reform for breast reconstruction following mastectomy demands a comprehensive understanding of costs related to the complex process of reconstruction. Bundled payments for services to women with breast cancer may profoundly impact reimbursement and access to breast reconstruction. The authors' objectives were to determine the contribution of cancer therapies, comorbidities, revisions, and complications to costs following immediate reconstruction and the optimal duration of episodes to incentivize cost containment for bundled payment models.

Methods

The cohort was composed of women who underwent immediate breast reconstruction between 2009 and 2016 from the MarketScan Commercial Claims and Encounters database. Continuous enrollment for 3 m

SUBMITTER: Berlin NL 

PROVIDER: S-EPMC8503817 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature