Characteristics of Hospitals Earning Savings in the First Year of Mandatory Bundled Payment for Hip and Knee Surgery

Navathe, Amol S.; Liao, Joshua M.; Shah, Yash; Lyon, Zoe; Chatterjee, Paula; Polsky, Dan; Emanuel, Ezekiel J.

doi:10.1001/jama.2018.0678

Cited by 28 publications

(28 citation statements)

References 3 publications

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“…A recent study that examined the characteristics of hospitals receiving rewards in CJR found that only 21.9 percent of hospitals receiving rewards were safety-net hospitals and that 37.3 percent of hospitals not receiving rewards were safety-net hospitals. 27 Furthermore, other work has shown that safety-net hospitals were more likely to be penalized under reforms such as the Hospital Readmissions Reduction Program. 7 …”

Section: Discussionmentioning

confidence: 99%

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

et al. 2019

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The Comprehensive Care for Joint Replacement (CJR) model of 2016 aims to improve the quality and costs of care for Medicare beneficiaries undergoing hip and knee replacements. However, there are concerns that the safety-net hospitals that care for the greatest number of vulnerable patients may perform poorly in CJR. In this study, we used Medicare’s CJR data to evaluate the performance of 792 hospitals mandated to participate in the first year of CJR. We found that in comparison to non-safety-net hospitals, 42 percent fewer safety-net hospitals qualified for rewards based on their quality and spending performance (33 percent of safety-net hospitals qualified, compared to 57 percent of non-safety-net hospitals), and safety-net hospitals’ rewards per episode were 39 percent smaller ($456 compared to $743). Continuation of this performance trend might place safety-net hospitals at increased risk of penalties in future years. Medicare and hospital strategies such as those that reward high-quality care for vulnerable patients might enable safety-net hospitals to compete effectively in CJR.

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Section: Discussionmentioning

confidence: 99%

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

et al. 2019

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“…A recent estimate projected that under bundled payment programs, PAC facilities could lose 6.5% of revenue [30]. In addition, an analysis of hospitals participating in the CJR found that receipt of a reconciliation payment was 15% more common among hospitals with an integrated PAC facility vs those without (55.8% vs 40.0%) [31]. Given the potential simultaneous pressures of declining revenue and fewer patients utilizing SNF care following TJA, SNFs must increasingly compete on quality of care provided.…”

Section: Discussionmentioning

confidence: 99%

Skilled Nursing Facility Star Rating, Patient Outcomes, and Readmission Risk After Total Joint Arthroplasty

Kimball

Nichols

Nunley

et al. 2018

The Journal of Arthroplasty

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“…In line with prior methods, spending estimates were standardized and transformed into 2016 US dollars. 21,22,23,27,28…”

Section: Methodsmentioning

confidence: 99%

Association of Bundled Payments for Joint Replacement Surgery and Patient Outcomes With Simultaneous Hospital Participation in Accountable Care Organizations

et al. 2019

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Characteristics of Hospitals Earning Savings in the First Year of Mandatory Bundled Payment for Hip and Knee Surgery

Cited by 28 publications

References 3 publications

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

Skilled Nursing Facility Star Rating, Patient Outcomes, and Readmission Risk After Total Joint Arthroplasty

Association of Bundled Payments for Joint Replacement Surgery and Patient Outcomes With Simultaneous Hospital Participation in Accountable Care Organizations

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