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In This Issue of JAMA
September 27, 2016


JAMA. 2016;316(12):1233-1235. doi:10.1001/jama.2015.14497

The Bundled Payments for Care Improvement (BPCI) initiative, a voluntary initiative of the Centers for Medicare & Medicaid Services, is testing whether linking payments for services provided during an episode of care can reduce Medicare payments while maintaining or improving quality. In an analysis of Medicare claims for lower extremity joint replacement before (n = 29 441) and after (n = 31 700) the BPCI initiative took effect, Dummit and colleagues found that Medicare payments declined more in BCPI-participating hospitals than in comparison hospitals, without significant change in quality outcomes. In an Editorial, Fisher discusses bundled payments as one approach to Medicare payment reform.

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