Safety-net hospital performance under Comprehensive Care for Joint Replacement.

ABSTRACT:

Objective

To investigate the relative progress of safety-net hospitals (SNHs) under Medicare's Comprehensive Care for Joint Replacement (CJR) mandatory bundled payment model over 2016-2020 and to identify the contributors to SNHs' realization of success under the program.

Data sources/study setting

Secondary data on all CJR hospitals were collected from the Centers for Medicare and Medicaid Services (CMS) public use files and from the American Hospital Association.

Study design

We addressed whether SNHs can achieve progress in financial performance under CJR by focusing on the relative change in reconciliation payments or the difference between episode spending and target prices. We applied the method of dominance analysis to ordinary least squares regression to deter

SUBMITTER: Carey K 

PROVIDER: S-EPMC9836942 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature