ArticleProceedings of the National Academy of Sciences of the United States of America2020
Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03407885 (The Impact of Medicare Bundled Payments), which is not on this map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The Impact of Medicare Bundled Payments: Evidence From a Nationwide Randomized Evaluation for Lower Extremity Joint Replacement
Who cites it
21 citing papers in PubMed, 56 citations in OpenAlex.
- Insurance coverage and provision of opioid disorder treatment: Evidence from Medicare.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2026Article
- Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China.BMC public health · 2025Article
- Investigating the Spillover Mechanisms of Payment Incentives on the Outcomes for Non-Targeted Patients.Health economics · 2025Article
- Spending Changes After Moving to Areas With Greater ACO Participation Among Nonattributed Medicare Beneficiaries.JAMA network open · 2025Article
- Article
- Employer-Sponsored Medicare Advantage Plans and the 2018 Therapy Cap Repeal: Reduced Overall Spending Does Not Constrain Out-of-Pocket Costs.Annals of plastic surgery · 2025Article
- The spillover effects of Medicare's comprehensive care for joint replacement (CJR) model in California.PloS one · 2025Article
- Outcomes by Race and Ethnicity Following a Medicare Bundled Payment Program for Joint Replacement.JAMA network open · 2024Article
- Association of Hospitals' Experience with Bundled Payment for Care Improvement Model with the Diffusion of Acute Hospital Care at Home.Health services research · 2024Article
- Association between Medicaid Expansion and Cutaneous Melanoma Diagnosis and Outcomes: Does Where You Live Make a Difference?Annals of surgical oncology · 2024Article
- ASO Author Reflections: Exploring the Impact-Medicaid Expansion and Improved Survival in Patients with Cutaneous Melanoma.Annals of surgical oncology · 2024Article
- Is there an advantage? Considerations for researchers studying the effects of the type of Medicare coverage.Health services research · 2024Review
- Patient experience with hospital care following the Maryland global budget revenue model: A difference-in-difference analysis.PloS one · 2024Article
- Building alternative payment models in health care.Frontiers in health services · 2024Article
- Trading spaces: Medicare's regulatory spillovers on treatment setting for non-Medicare patients.Journal of health economics · 2022Article
- Trends in the Impact of Medicaid Expansion on the Use of Clinical Preventive Services.American journal of preventive medicine · 2022Article
- Framework for identification and measurement of spillover effects in policy implementation: intended non-intended targeted non-targeted spillovers (INTENTS).Implementation science communications · 2022Article
- VOLUNTARY REGULATION: EVIDENCE FROM MEDICARE PAYMENT REFORM.The quarterly journal of economics · 2022Article
- Article
- Beyond Causality: Additional Benefits of Randomized Controlled Trials for Improving Health Care Delivery.The Milbank quarterly · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Changes in the way health insurers pay healthcare providers may not only directly affect the insurer's patients but may also affect patients covered by other insurers. We provide evidence of such spillovers in the context of a nationwide Medicare bundled payment reform that was implemented in some areas of the country but not in others, via random assignment. We estimate that the payment reform-which targeted traditional Medicare patients-had effects of similar magnitude on the healthcare experience of nontargeted, privately insured Medicare Advantage patients. We discuss the implications of these findings for estimates of the impact of healthcare payment reforms and more generally for the design of healthcare policy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.