Medicare's Bundled Payment initiative: most hospitals are focused on a few high-volume conditions

Health Affairs
Thomas C TsaiAshish K Jha

Abstract

The Bundled Payments for Care Improvement initiative is a federally funded innovation model mandated by the Affordable Care Act. It is designed to help transition Medicare away from fee-for-service payments and toward bundling a single payment for an episode of acute care in a hospital and related postacute care in an appropriate setting. While results from the initiative will not be available for several years, current data can help provide critical early insights. However, little is known about the participating organizations and how they are focusing their efforts. We identified participating hospitals and used national Medicare claims data to assess their characteristics and previous spending patterns. These hospitals are mostly large, nonprofit, teaching hospitals in the Northeast, and they have selectively enrolled in the bundled payment initiative covering patient conditions with high clinical volumes. We found no significant differences in episode-based spending between participating and nonparticipating hospitals. Postacute care explains the largest variation in overall episode-based spending, signaling an opportunity to align incentives across providers. However, the focus on a few selected clinical conditions and the...Continue Reading

References

May 14, 2008·Health Affairs·Chapin White
Jan 29, 2009·Health Affairs·Robert E Mechanic, Stuart H Altman
Aug 14, 2010·Medical Care·Melinda Beeuwkes BuntinJosé J Escarce
Mar 9, 2012·The New England Journal of Medicine·Chapin White, Paul B Ginsburg
Nov 16, 2012·The New England Journal of Medicine·Robert Mechanic, Christopher Tompkins
Mar 26, 2013·The New England Journal of Medicine·Joseph P Newhouse, Alan M Garber
Jun 26, 2013·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Feb 21, 2014·The New England Journal of Medicine·Robert Mechanic
Jul 9, 2014·JAMA Internal Medicine·Maura Calsyn, Ezekiel J Emanuel
Sep 18, 2014·JAMA : the Journal of the American Medical Association·Hoangmai H PhamPatrick H Conway

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Citations

Aug 5, 2015·Clinical Orthopaedics and Related Research·Peter CramGillian Hawker
May 17, 2017·The Journal of Nursing Administration·Lauran HardinElizabeth Murphy
Jan 7, 2017·The Journal of Bone and Joint Surgery. American Volume·Richard IorioJoseph D Zuckerman
Jul 1, 2017·American Journal of Public Health·Richard NiedermanStefan Listl
Jul 19, 2018·The New England Journal of Medicine·Karen E Joynt MaddoxArnold M Epstein
Jan 3, 2019·The New England Journal of Medicine·Michael L BarnettAteev Mehrotra
Feb 26, 2019·Journal of the American Geriatrics Society·Karen E Joynt MaddoxArnold M Epstein
Sep 7, 2019·Journal of the American Geriatrics Society·Karen E Joynt MaddoxArnold M Epstein
Aug 25, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Lindsay E JubeltLeora I Horwitz
Feb 18, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Coleen KivlahanDarrell G Kirch
Oct 1, 2020·JAMA Surgery·Joshua M LiaoDanny Chu
Jan 27, 2019·World Journal of Surgery·David A MahviEdward E Whang
May 31, 2018·Population Health Management·Jonathan LichkusPracha Eamranond
Jun 2, 2018·BMC Health Services Research·Yonina R Murciano-GoroffKatrina Armstrong
Nov 26, 2020·Plastic and Reconstructive Surgery·Nicholas L BerlinAdeyiza O Momoh
Dec 14, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Tobin LassenEduardo Hernandez
Jan 14, 2020·Population Health Management·Dan GzeshTimothy MacCracken
Apr 7, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Djhenne M DalmacyTimothy M Pawlik
Apr 24, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David ChiSamuel J Lin
Aug 5, 2018·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alexander V FisherDaniel E Abbott

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