ArticleHealth affairs (Project Hope)2018
Comparison Of Hospitals Participating In Medicare's Voluntary And Mandatory Orthopedic Bundle Programs.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Geographic Variability in Medicare Hospital Reimbursement for Primary Total Hip and Knee Arthroplasty Episodes of Care From 2013 to 2023.Arthroplasty today · 2026Article
- Medicare's comprehensive care for joint replacement model increased public hospitals' inpatient length of stay.BMC health services research · 2024Article
- Association between mandatory bundled payments and changes in socioeconomic disparities for joint replacement outcomes.Health services research · 2024Observational
- Temporal Trends in the Rate of Revision Total Knee Arthroplasty for Prosthetic Joint Infection.Arthroplasty today · 2024Article
- Differential Hospital Participation in Bundled Payments in Communities with Higher Shares of Marginalized Populations.Journal of general internal medicine · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 2023Article
- Impact of Hospital-Based Rehabilitation Services on Discharge to the Community by Value-Based Payment Programs After Joint Replacement Surgery.Physical therapy · 2022Article
- Article
- An Employer-Provider Direct Payment Program Is Associated With Lower Episode Costs.Health affairs (Project Hope) · 2021Article
- Spending and quality after three years of Medicare's bundled payments for medical conditions: quasi-experimental difference-in-differences study.BMJ (Clinical research ed.) · 2020Article
- The Effects of Bundled Payment Programs for Hip and Knee Arthroplasty on Patient-Reported Outcomes.The Journal of arthroplasty · 2020Observational
- Association of Bundled Payments for Joint Replacement Surgery and Patient Outcomes With Simultaneous Hospital Participation in Accountable Care Organizations.JAMA network open · 2019Article
- Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study.BMJ (Clinical research ed.) · 2019Article
- Medicare's bundled payment model did not change skilled nursing facility discharge patterns.The American journal of managed care · 2019Article
- Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements.JAMA internal medicine · 2019Article
- A Model to Improve the Workflow for Radiation Treatments in the Era of Bundled Payments: A Quality Improvement Project Report.Advances in radiation oncologyArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
We analyzed data from Medicare and the American Hospital Association Annual Survey to compare characteristics and baseline performance among hospitals in Medicare's voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care for Joint Replacement Model, or CJR) joint replacement bundled payment programs. BPCI hospitals had higher mean patient volume and were larger and more teaching intensive than were CJR hospitals, but the two groups had similar risk exposure and baseline episode quality and cost. BPCI hospitals also had higher cost attributable to institutional postacute care, largely driven by inpatient rehabilitation facility cost. These findings suggest that while both voluntary and mandatory approaches can play a role in engaging hospitals in bundled payment, mandatory programs can produce more robust, generalizable evidence. Either mandatory or additional targeted voluntary programs may be required to engage more hospitals in bundled payment programs.
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