In Reply Dr Kahvecioglu and colleagues raise a number of important points regarding our Research Letter on the BPCI program. First, they point out that despite its voluntary nature, BPCI enrolled a significant number of hospitals that provided more than 430 000 hospital stays in 2016. We agree fully and commend the Innovation Center for taking on, and implementing, such an ambitious experiment. We think this large test of bundled payments is critical to understanding how best to move forward with new payment models to incentivize high-quality care.
Maddox KEJ, Epstein AM. Bundled Payments Initiative Participation and Retention—Reply. JAMA. 2018;319(20):2138. doi:10.1001/jama.2018.4466
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