What question did this study set out to answer?

Assess the impact of mandatory Medicare bundled payment models on institutional postacute care discharge following lower extremity joint replacement.

September 4, 2018JAMAOpen Access

Mandatory Medicare Bundled Payment Program for Lower Extremity Joint Replacement and Discharge to Institutional Postacute Care

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Authors

AFAmy FinkelsteinMoscow Institute of Thermal Technology YJYunan JiGeorgetown University NMNeale MahoneyStanford University

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Implication

Randomized trial evaluates postacute care discharge under mandatory Medicare bundled payments for lower extremity joint replacement, indicating shifting post-surgical recovery patterns.

Key Points

Assess the impact of mandatory Medicare bundled payment models on institutional postacute care discharge following lower extremity joint replacement.
Interventional trial registered under ClinicalTrials.gov (NCT03407885) and the American Economic Association Registry (AEARCTR-0002521).
Analyzed hospital discharge dispositions and institutional postacute care utilization among Medicare beneficiaries receiving lower extremity joint replacements.
Primary outcomes evaluated rates of institutional postacute care discharge following hip and knee arthroplasty under bundled payment mandates.
Specific per-arm event rates, effect sizes, and confidence intervals were not reported in the registry abstract.

Cite This Study

Finkelstein et al. (2018) studied this question.

synapsesocial.com/papers/69da28ec84371aa676a3cdd0 https://doi.org/10.1001/jama.2018.12346

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Implication

Randomized trial evaluates postacute care discharge under mandatory Medicare bundled payments for lower extremity joint replacement, indicating shifting post-surgical recovery patterns.

Mandatory Medicare Bundled Payment Program for Lower Extremity Joint Replacement and Discharge to Institutional Postacute Care

Discussion

Member takes

Implication

Key Points

Cite This Study

Mandatory Medicare Bundled Payment Program for Lower Extremity Joint Replacement and Discharge to Institutional Postacute Care

Discussion

Member takes

Implication

Key Points

Cite This Study

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