Two-Year Evaluation of Mandatory Bundled Payments for Joint Replacement

In 2016, Medicare started mandatory bundled payment for joint-replacement surgery in randomly selected areas. Hospitals receive bonuses or pay penalties based on spending through 90 days after discharge. In the first 2 years, there was a slight reduction in spending.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2019-01, Vol.380 (3), p.252-262
Hauptverfasser:	Barnett, Michael L, Wilcock, Andrew, McWilliams, J. Michael, Epstein, Arnold M, Joynt Maddox, Karen E, Orav, E. John, Grabowski, David C, Mehrotra, Ateev
Format:	Artikel
Sprache:	eng
Schlagworte:	Aging Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - economics Cost control Episode of Care Health Expenditures - trends Hip Hospitalization Hospitals Humans Joint replacement surgery Knee Medicare Participation Patients Population Quality Reimbursement Mechanisms Risk groups Statistics United States
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Beschreibung
Zusammenfassung:	In 2016, Medicare started mandatory bundled payment for joint-replacement surgery in randomly selected areas. Hospitals receive bonuses or pay penalties based on spending through 90 days after discharge. In the first 2 years, there was a slight reduction in spending.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMsa1809010