To the Editor Dr Navathe and colleagues studied whether Medicare’s Bundled Payments for Care Improvement (BPCI) program led to unintended consequences, including changes in volume and case mix.1 Based on an estimated differential change in market volume between participating and nonparticipating markets of 0.32% (95% CI, −0.06% to 0.69%; P = .10), they concluded that BPCI participation “was not associated with changes in market-level lower extremity joint replacement volume.” This conclusion has statistical and practical problems.
Bilinski A, Hatfield L. Potential Unintended Effects of Medicare’s Bundled Payments for Care Improvement Program. JAMA. 2019;321(1):106. doi:10.1001/jama.2018.18158
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: