Post-Acute Care After Joint Replacement in Medicare's Bundled Payments for Care Improvement Initiative

Journal of the American Geriatrics Society
Karen E Joynt MaddoxArnold M Epstein

Abstract

Bundled payments, in which services provided around a care episode are linked together, are being tested under Medicare's Bundled Payments for Care Improvement (BPCI) program. Reducing post-acute care (PAC) is critical under bundled payment, but little is known about whether this is done through provider selection or consolidation, and whether particular patterns of changes in PAC are associated with success under the program. To characterize patterns of change in PAC under lower-extremity joint replacement episodes in BPCI. Retrospective difference-in-differences study. US Medicare, 2013 to 2015. A total of 264 US hospitals participating in BPCI for lower-extremity joint replacement and matched controls. Participation in BPCI. Use and duration of institutional PAC (proportion discharged to a skilled nursing facility, an inpatient rehabilitation facility, and a long-term care hospital), dispersion of PAC (proportion of discharges to commonly used providers), and quality of PAC (Star Ratings, readmission rates, length of stay, and nurse staffing); part A Medicare payments. BPCI participants decreased the use and duration of institutional PAC compared to controls: overall institutional PAC declined 4.4% in BPCI hospitals vs 2.1% ...Continue Reading

References

Oct 3, 2015·The Journal of Arthroplasty·Richard IorioJoseph D Zuckerman
Apr 6, 2016·Health Affairs·R Tamara Konetzka, Marcelo Coca Perraillon
Oct 26, 2016·Health Services Research·Dana B MukamelDara H Sorkin
Nov 22, 2016·Journal of Orthopaedic Trauma·Peter L Althausen, Lisa Mead
Dec 8, 2016·The Journal of Bone and Joint Surgery. American Volume·John M DundonRichard Iorio
Jan 6, 2017·JAMA Internal Medicine·Amol S NavatheEzekiel J Emanuel
Jan 7, 2017·The Journal of Bone and Joint Surgery. American Volume·Richard IorioJoseph D Zuckerman
May 17, 2017·The Journal of Nursing Administration·Lauran HardinElizabeth Murphy
Jul 19, 2017·Journal of General Internal Medicine·Karen E Joynt MaddoxArnold M Epstein
Aug 25, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Lindsay E JubeltLeora I Horwitz
Jan 11, 2018·JAMA : the Journal of the American Medical Association·Karen E Joynt MaddoxArnold M Epstein
Feb 13, 2018·Journal of Health Economics·R Tamara KonetzkaRachel M Werner
Jul 19, 2018·The New England Journal of Medicine·Karen E Joynt MaddoxArnold M Epstein
Feb 8, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Vinay K RathiMatthew R Naunheim

❮ Previous
Next ❯

Citations

Sep 7, 2019·Journal of the American Geriatrics Society·Karen E Joynt MaddoxArnold M Epstein
Feb 26, 2019·Journal of the American Geriatrics Society·Peter J Huckfeldt, Lianna Weissblum
Feb 4, 2021·BMC Health Services Research·Michael K DaltonJoel S Weissman
Apr 7, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Djhenne M DalmacyTimothy M Pawlik
May 6, 2021·Journal of General Internal Medicine·Jonathan D WolfeKaren E Joynt Maddox
Jun 1, 2021·The Bone & Joint Journal·Bryan D Springer, Jordan McInerney
Jun 2, 2021·Journal of the American Medical Directors Association·Robert E BurkeJulia Adler-Milstein
Aug 12, 2021·Journal of the American Geriatrics Society·Karen E Joynt MaddoxArnold M Epstein
Aug 12, 2021·The New England Journal of Medicine·Karen E Joynt MaddoxArnold M Epstein
Aug 19, 2021·Archives of Physical Medicine and Rehabilitation·Neil Jordan, Anne Deutsch
Nov 4, 2021·Stroke; a Journal of Cerebral Circulation·Kelby BrownBrystana G Kaufman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.