ArticleAmerican journal of health economics2025
The Effects of Post-Acute Care Payment Reform on the Need for and Receipt of Caregiving.
Article in American journal of health economics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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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
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States: A Systematic Review.Medical care · 2026Pooled it
- Impact of the Comprehensive Care for Joint Replacement Model on Spending and Care Endpoints: A Systematic Review.The Journal of arthroplasty · 2026Review
- Postacute Care Use and Outcomes Among Medicare Advantage vs Traditional Medicare Beneficiaries.JAMA network open · 2025Article
- Home Health Care Use Among Medicare Beneficiaries From 2010 to 2020.Medical care research and review : MCRR · 2025Article
- Trends in Home Health Care Among Traditional Medicare Beneficiaries With or Without Dementia.JAMA network open · 2025Article
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.
Funding
Abstract
Alternative payment models, such as bundled payment, have been proposed as a solution to the high costs of health care. While these models are typically effective at constraining spending on post-acute care, the decrease in consumption of formal post-acute care may result in a compensatory increase in the need for and use of informal or family caregiving. We estimate the effect of a large, randomized experiment with Medicare bundled payment on the need for and receipt of caregiving. Using data on over 2 million Medicare beneficiaries undergoing knee or hip replacement and a difference-in-differences approach, we find the mandatory bundled payment caused a 1 to 2 percentage point absolute increase (a 9% to 14-15% relative increase) in both the need for and receipt of help with activities of daily living at the end of a home health episode, help which was likely provided by family caregivers. This increased caregiver burden was corroborated by a large shift away from nursing-home-based post-acute care (or care in a skilled nursing facility or SNF) after knee and hip replacement, a shift toward home health care, and an accompanying decline in the intensity of home care.
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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.