Study Finds No Spending Difference Between Voluntary, Mandated Bundled Payment Programs

Managed Healthcare Executive June 20, 2021
Peter Wehrwein

Results run counter to common beliefs about the effects of self-selection into voluntary value-based payment programs.

One critique of many of the value-based program launched by CMS is that they have been voluntary. That self-selection clouds results, goes the critique, because hospitals (and physician practices) that elect to participate in a program likely have attributes going into the program that will make them successful. As a result, favorable outcomes or spending reductions may be misleading as a result.

But results reported in JAMA last week bya team of researchers led by Joshua M. Liao, M.D., M.Sc., of the University of Washington poked a hole in that critique and may color the debate about value-based programs. When Liao and his fellow...

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