To the Editor Although Medicare’s BPCI program for lower extremity joint replacement (LEJR) reduced health care costs by $1166 per episode1 (a 3.9% savings from about $30 000), there are concerns that the shift to bundled payments could encourage clinicians to increase volumes overall and preferentially treat healthier patients, possibly inappropriately so.2,3
Weeks WB, Fisher ES. Potential Unintended Effects of Medicare’s Bundled Payments for Care Improvement Program. JAMA. 2019;321(1):106–107. doi:10.1001/jama.2018.18150
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