This Viewpoint describes the status of existing Medicare alternative payment models, which are designed to curb health spending, and assesses the viability of these models.
To determine 30-day readmission rates and factors related to readmission for patients receiving postacute inpatient rehabilitation, Ottenbacher and coauthors conducted a retrospective cohort study among 736 536 Medicare fee-for-service beneficiaries discharged from inpatient rehabilitation facilities to the community.
To investigate how different financial incentives between Medicare Advantage and Medicare fee-for-service reimbursement structures influence cardiovascular procedure use, Matlock and coauthors studied rates of coronary angiography, percutaneous coronary intervention, and bypass surgery in nearly 6 million Medicare beneficiaries. Krumholz provides comment in the related Editorial.
This study evaluates whether the Bundled Payments for Care Improvement initiative of the Centers for Medicare & Medicaid Services was associated with a greater reduction in Medicare payments without loss of quality of care for patients with lower extremity joint replacement.
This analysis of claims data from employer-insured patients found that those who accessed a pricing platform to check the cost of clinician visits, laboratory testing services, or imaging studies had lower total claims payments than those who did not check prices.