Association of Physician Group Practice Participation in Bundled Payments With Patient Selection, Costs, and Outcomes for Joint Replacement.

ABSTRACT:

Importance

Medicare's Bundled Payments for Care Improvement (BPCI) program, which ran from 2013 to 2018, was an important experiment in physician-focused alternative payment models. However, little is known about whether the program was associated with better quality or outcomes or lower costs.

Objective

To determine whether participation in BPCI among physician group practices was associated with advantageous or deleterious changes in costs or patient outcomes.

Design setting and participants

This cross-sectional study used 2013 to 2017 Medicare files and difference-in-differences (DID) models to compare the change over time in Medicare payments, patient selection, and clinical outcomes between 91 orthopedic groups in BPCI Model 2 and 169 propensity-matched controls

SUBMITTER: Joynt Maddox KE 

PROVIDER: S-EPMC8796976 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature