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Comment & Response
January 1/8, 2019

Potential Unintended Effects of Medicare’s Bundled Payments for Care Improvement Program

Author Affiliations
  • 1Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire
JAMA. 2019;321(1):106-107. doi:10.1001/jama.2018.18150

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