Article

Bundled Payments Lower Medicare Spending on Joint Replacement

Author(s):

Hospitals that saved money through bundled payments more likely to be nonprofit, teaching, and integrated with a post-acute care facility compared to other hospitals

Savings hospitals had lower baseline spending than nonsavings hospitals during the first year of the Comprehensive Care for Joint Replacement (CJR) program, according to a Research Letter in JAMA.

Medicare’s CJR program offers bundled payments for hip and knee surgery at 799 hospitals that include payments for hospitalization and post-discharge care 90 days after the procedure into a single benchmark. The program incentivizes hospitals through bonus payments to exceed their quality and cost benchmarks. Overall, 67 urban markets in metropolitan statistical areas (MSAs) were required by Medicare to participate in the program.

Recently, Medicare has declared the most hospitals in 34 of 67 MSAs must continue participating in the CJR program, while low-volume hospitals could choose whether to continue or withdraw. The study evaluated Medicare’s change in policy and how it affects the future of mandatory bundled payment models.

For more information, please visit AJMC.com.

Related Videos
Image Credit: © Birdland - stock.adobe.com
Image Credit: © alenamozhjer - stock.adobe.com
pharmacogenetics testing, adverse drug events, personalized medicine, FDA collaboration, USP partnership, health equity, clinical decision support, laboratory challenges, study design, education, precision medicine, stakeholder perspectives, public comment, Texas Medical Center, DNA double helix
Pharmacy, Advocacy, Opioid Awareness Month | Image Credit: pikselstock - stock.adobe.com
pharmacogenetics challenges, inter-organizational collaboration, dpyd genotype, NCCN guidelines, meta census platform, evidence submission, consensus statements, clinical implementation, pharmacotherapy improvement, collaborative research, pharmacist role, pharmacokinetics focus, clinical topics, genotype-guided therapy, critical thought
3 KOLs are featured in this series.
3 KOLs are featured in this series.
Hurricane Helene, Baxter plant, IV fluids shortage, health systems impact, injectable medicines, compounding solutions, patient care errors, clinical resources, operational consideration, fluid conservation, sterile water, temperature excursions, training considerations, patient safety, feedback request
Image Credit: © Andrey Popov - stock.adobe.com