Healthcare DIVE June 16, 2021
Susan Kelly

Dive Brief:

  • A University of Pennsylvania study that tracked Medicare claims for about 1.35 million beneficiaries who had joint replacement surgery found that hospitals participating in bundled payment programs spent less on the hip and knee joint procedures than hospitals receiving traditional fee-for-service payments.
  • Spending, however, did not differ between hospitals that voluntarily joined bundling programs and those whose involvement was mandatory, according to the findings, which were published in a JAMA research letter. The results failed to validate assumptions that voluntary participants tend to achieve greater savings because they choose programs for the opportunity to reduce spending.
  • The findings come as the head of the Center for Medicare and Medicaid Innovation, Elizabeth Fowler, suggested the agency would look...

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Topics: Bundled Payments, CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Survey / Study, Trends, Value Based
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