Association of Medicare Mandatory Bundled Payment Reform With Joint Replacement Surgery Use for Beneficiaries With Alzheimer Disease and Related Dementias.

ABSTRACT:

Importance

Medicare beneficiaries with Alzheimer disease and related dementias (ADRD) are a particularly vulnerable group in whom arthritis is a frequently occurring comorbidity. Medicare's mandatory bundled payment reform-the Comprehensive Care for Joint Replacement (CJR) model-was intended to improve quality and reduce spending in beneficiaries undergoing joint replacement surgical procedures for arthritis. In the absence of adjustment for clinical risk, hospitals may avoid performing elective joint replacements for beneficiaries with ADRD.

Objective

To evaluate the association of the CJR model with utilization of joint replacements for Medicare beneficiaries with ADRD.

Design setting and participants

This cohort study used national Medicare data from 2013 to 2017 a

SUBMITTER: Thirukumaran CP 

PROVIDER: S-EPMC8903111 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature