Under bundled payment programs, such as Medicare’s Comprehensive Care for Joint Replacement (CJR) model, hospitals bear financial risk for posthospitalization care for beneficiaries in traditional fee-for-service Medicare. It is unknown whether participating hospitals change care patterns only for patients subject to the payment bundle or if changes spillover onto care for other patients undergoing joint replacement. Spillovers to Medicare Advantage (MA) patients would indicate that clinicians have a consistent approach to discharge planning regardless of payor1,2 and would suggest Medicare’s payment reforms have had a broader societal effect.3
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Wilcock AD, Barnett ML, McWilliams JM, Grabowski DC, Mehrotra A. Association Between Medicare’s Mandatory Joint Replacement Bundled Payment Program and Post–Acute Care Use in Medicare Advantage. JAMA Surg. Published online October 02, 2019. doi:10.1001/jamasurg.2019.3957
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