메뉴 건너뛰기




Volumn 320, Issue 9, 2018, Pages 892-900

Mandatory medicare bundled payment program for lower extremity joint replacement and discharge to institutional postacute care interim analysis of the first year of a 5-year randomized trial

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CASE MIX; CONTROLLED STUDY; FEMALE; HUMAN; INSTRUMENTAL VARIABLE ANALYSIS; LOWER LIMB; MAJOR CLINICAL STUDY; MALE; MEDICARE; OUTCOME ASSESSMENT; PATIENT VOLUME; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; REPLACEMENT ARTHROPLASTY; AGED; COMPARATIVE STUDY; ECONOMICS; GOVERNMENT; HEALTH CARE QUALITY; HEALTH ECONOMICS; HIP REPLACEMENT; HOSPITAL DISCHARGE; KNEE REPLACEMENT; LONG TERM CARE; NURSING HOME; PATIENT CARE; REHABILITATION; REHABILITATION CENTER; REIMBURSEMENT; SUBACUTE CARE; UNITED STATES; UTILIZATION;

EID: 85053019672     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2018.12346     Document Type: Article
Times cited : (149)

References (36)
  • 2
    • 84995747397 scopus 로고    scopus 로고
    • Medicare's bundled payment program for joint replacement: Promise and peril?
    • Fisher ES. Medicare's bundled payment program for joint replacement: promise and peril? JAMA. 2016;316(12):1262-1264. doi:10.1001/jama.2016.12525
    • (2016) JAMA , vol.316 , Issue.12 , pp. 1262-1264
    • Fisher, E.S.1
  • 3
    • 77956940513 scopus 로고    scopus 로고
    • How health care reform must bend the cost curve
    • Cutler D. How health care reform must bend the cost curve. Health Aff (Millwood). 2010;29(6):1131-1135. doi:10.1377/hlthaff.2010.0416
    • (2010) Health Aff (Millwood) , vol.29 , Issue.6 , pp. 1131-1135
    • Cutler, D.1
  • 4
    • 84858630820 scopus 로고    scopus 로고
    • The potential for cost savings through bundled episode payments
    • Cutler DM, Ghosh K. The potential for cost savings through bundled episode payments. N Engl J Med. 2012;366(12):1075-1077. doi:10.1056 /NEJMp1113361
    • (2012) N Engl J Med , vol.366 , Issue.12 , pp. 1075-1077
    • Cutler, D.M.1    Ghosh, K.2
  • 5
    • 85053007656 scopus 로고    scopus 로고
    • A health-care fix that works, now being rolled back
    • August 20, Accessed March 14, 2018
    • Furman J, Kocher B. A health-care fix that works, now being rolled back. Wall Street Journal. August 20, 2017. https://www.wsj.com/articles/a -health-care-fix-that-works-now-being-rolled-back -1503258369. Accessed March 14, 2018.
    • (2017) Wall Street Journal
    • Furman, J.1    Kocher, B.2
  • 6
    • 84942860496 scopus 로고    scopus 로고
    • Mandatory Medicare bundled payment'is it ready for prime time?
    • Mechanic RE. Mandatory Medicare bundled payment'is it ready for prime time? N Engl J Med. 2015;373(14):1291-1293. doi:10.1056/NEJMp1509155
    • (2015) N Engl J Med , vol.373 , Issue.14 , pp. 1291-1293
    • Mechanic, R.E.1
  • 7
    • 84862907754 scopus 로고    scopus 로고
    • Large variations in Medicare payments for surgery highlight savings potential from bundled payment programs
    • Miller DC, Gust C, Dimick JB, Birkmeyer N, Skinner J, Birkmeyer JD. Large variations in Medicare payments for surgery highlight savings potential from bundled payment programs. Health Aff (Millwood). 2011;30(11):2107-2115. doi:10.1377 /hlthaff.2011.0783
    • (2011) Health Aff (Millwood) , vol.30 , Issue.11 , pp. 2107-2115
    • Miller, D.C.1    Gust, C.2    Dimick, J.B.3    Birkmeyer, N.4    Skinner, J.5    Birkmeyer, J.D.6
  • 8
    • 0031447806 scopus 로고    scopus 로고
    • Cost savings and physician responses to global bundled payments for Medicare heart bypass surgery
    • Cromwell J, Dayhoff DA, Thoumaian AH. Cost savings and physician responses to global bundled payments for Medicare heart bypass surgery. Health Care Financ Rev. 1997;19(1):41-57.
    • (1997) Health Care Financ Rev , vol.19 , Issue.1 , pp. 41-57
    • Cromwell, J.1    Dayhoff, D.A.2    Thoumaian, A.H.3
  • 9
    • 84924569310 scopus 로고    scopus 로고
    • Bundled payment initiatives for Medicare and non-Medicare total joint arthroplasty patients at a community hospital: Bundles in the real world
    • Doran JP, Zabinski SJ. Bundled payment initiatives for Medicare and non-Medicare total joint arthroplasty patients at a community hospital: bundles in the real world. J Arthroplasty. 2015;30 (3):353-355. doi:10.1016/j.arth.2015.01.035
    • (2015) J Arthroplasty , vol.30 , Issue.3 , pp. 353-355
    • Doran, J.P.1    Zabinski, S.J.2
  • 10
    • 84941879135 scopus 로고    scopus 로고
    • Standardizing care and improving quality under a bundled payment initiative for total joint arthroplasty
    • Froemke CC, Wang L, DeHart ML, Williamson RK, Ko LM, Duwelius PJ. Standardizing care and improving quality under a bundled payment initiative for total joint arthroplasty. J Arthroplasty. 2015;30(10):1676-1682. doi:10.1016/j.arth.2015.04.028
    • (2015) J Arthroplasty , vol.30 , Issue.10 , pp. 1676-1682
    • Froemke, C.C.1    Wang, L.2    DeHart, M.L.3    Williamson, R.K.4    Ko, L.M.5    Duwelius, P.J.6
  • 11
    • 85014537292 scopus 로고    scopus 로고
    • Cost of joint replacement using bundled payment models
    • Navathe AS, Troxel AB, Liao JM, et al. Cost of joint replacement using bundled payment models. JAMA Intern Med. 2017;177(2):214-222. doi:10.1001 /jamainternmed.2016.8263
    • (2017) JAMA Intern Med , vol.177 , Issue.2 , pp. 214-222
    • Navathe, A.S.1    Troxel, A.B.2    Liao, J.M.3
  • 12
    • 84995812376 scopus 로고    scopus 로고
    • Association between hospital participation in a Medicare bundled payment initiative and payments and quality outcomes for lower extremity joint replacement episodes
    • Dummit LA, Kahvecioglu D, Marrufo G, et al. Association between hospital participation in a Medicare bundled payment initiative and payments and quality outcomes for lower extremity joint replacement episodes. JAMA. 2016;316(12):1267-1278. doi:10.1001/jama.2016.12717
    • (2016) JAMA , vol.316 , Issue.12 , pp. 1267-1278
    • Dummit, L.A.1    Kahvecioglu, D.2    Marrufo, G.3
  • 13
    • 85046603726 scopus 로고    scopus 로고
    • How should the Trump Administration handle Medicare's new bundled payment programs?
    • April Accessed July 18, 2018
    • Gronniger T, Fiedler M, Patel K, Adler L, Ginsberg P. How should the Trump Administration handle Medicare's new bundled payment programs? Health Affairs blog. April 2017. https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2017/04/10/how -should-the-trump-administration-handle -medicares-new-bundled-payment-programs/. Accessed July 18, 2018.
    • (2017) Health Affairs Blog
    • Gronniger, T.1    Fiedler, M.2    Patel, K.3    Adler, L.4    Ginsberg, P.5
  • 15
    • 85052992088 scopus 로고    scopus 로고
    • US Department of Health and Human Services
    • US Department of Health and Human Services.
  • 16
    • 84923297444 scopus 로고    scopus 로고
    • Accessed June 5, 2018
    • 2014 CMS Statistics. 2014. https://www.cms.gov /Research-Statistics-Data-and-Systems/Statistics -Trends-and-Reports/CMS-Statistics-Reference -Booklet/Downloads/CMS_Stats_2014_final.pdf. Accessed June 5, 2018.
    • (2014) 2014 CMS Statistics
  • 17
    • 84940642520 scopus 로고    scopus 로고
    • Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system policy changes and fiscal year 2016 rates; revisions of quality reporting requirements for specific providers, including changes related to the electronic health record incentive program; extensions of the Medicare-dependent, small rural hospital program and the low-volume payment adjustment for hospitals: Final rule; interim final rule with comment period
    • Centers for Medicare & Medicaid Services
    • Centers for Medicare & Medicaid Services. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system policy changes and fiscal year 2016 rates; revisions of quality reporting requirements for specific providers, including changes related to the electronic health record incentive program; extensions of the Medicare-dependent, small rural hospital program and the low-volume payment adjustment for hospitals: final rule; interim final rule with comment period. Fed Regist. 2015;80(158): 49325-49886.
    • (2015) Fed Regist , vol.80 , Issue.158 , pp. 49325-49886
  • 18
    • 84865367685 scopus 로고    scopus 로고
    • The Oregon Health Insurance Experiment: Evidence from the first year
    • Finkelstein A, Taubman S, Wright B, et al; Oregon Health Study Group. The Oregon Health Insurance Experiment: evidence from the first year. Q J Econ. 2012;127(3):1057-1106. doi:10.1093/qje /qjs020
    • (2012) Q J Econ , vol.127 , Issue.3 , pp. 1057-1106
    • Finkelstein, A.1    Taubman, S.2    Wright, B.3
  • 19
    • 84877275240 scopus 로고    scopus 로고
    • The Oregon experiment'effects of Medicaid on clinical outcomes
    • Baicker K, Taubman SL, Allen HL, et al; Oregon Health Study Group. The Oregon experiment'effects of Medicaid on clinical outcomes. N Engl J Med. 2013;368(18):1713-1722. doi:10.1056 /NEJMsa1212321
    • (2013) N Engl J Med , vol.368 , Issue.18 , pp. 1713-1722
    • Baicker, K.1    Taubman, S.L.2    Allen, H.L.3
  • 20
    • 84952785100 scopus 로고    scopus 로고
    • Medicare program; comprehensive care for joint replacement payment model for acute care hospitals furnishing lower extremity joint replacement services
    • Centers for Medicare & Medicaid Services
    • Centers for Medicare & Medicaid Services. Medicare program; comprehensive care for joint replacement payment model for acute care hospitals furnishing lower extremity joint replacement services. Fed Regist. 2015;80(226): 73273-73554.
    • (2015) Fed Regist , vol.80 , Issue.226 , pp. 73273-73554
  • 22
    • 84901392734 scopus 로고    scopus 로고
    • The impact of Medicaid on labor market activity and program participation: Evidence from the Oregon Health Insurance Experiment
    • Baicker K, Finkelstein A, Song J, Taubman S. The impact of Medicaid on labor market activity and program participation: evidence from the Oregon Health Insurance Experiment. Am Econ Rev. 2014;104(5):322-328. doi:10.1257/aer.104.5.322
    • (2014) Am Econ Rev , vol.104 , Issue.5 , pp. 322-328
    • Baicker, K.1    Finkelstein, A.2    Song, J.3    Taubman, S.4
  • 23
    • 84892568652 scopus 로고    scopus 로고
    • Medicaid increases emergency-department use: Evidence from Oregon's Health Insurance Experiment
    • Taubman SL, Allen HL, Wright BJ, Baicker K, Finkelstein AN. Medicaid increases emergency-department use: evidence from Oregon's Health Insurance Experiment. Science. 2014;343(6168):263-268. doi:10.1126/science.1246183
    • (2014) Science , vol.343 , Issue.6168 , pp. 263-268
    • Taubman, S.L.1    Allen, H.L.2    Wright, B.J.3    Baicker, K.4    Finkelstein, A.N.5
  • 24
    • 84992083460 scopus 로고    scopus 로고
    • Effect of Medicaid coverage on ED use'further evidence from Oregon's experiment
    • Finkelstein AN, Taubman SL, Allen HL, Wright BJ, Baicker K. Effect of Medicaid coverage on ED use'further evidence from Oregon's experiment. N Engl J Med. 2016;375(16):1505-1507. doi:10.1056 /NEJMp1609533
    • (2016) N Engl J Med , vol.375 , Issue.16 , pp. 1505-1507
    • Finkelstein, A.N.1    Taubman, S.L.2    Allen, H.L.3    Wright, B.J.4    Baicker, K.5
  • 25
    • 84987657290 scopus 로고    scopus 로고
    • Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and policy changes and fiscal year 2017 rates; quality reporting requirements for specific providers; graduate medical education; hospital notification procedures applicable to beneficiaries receiving observation services; technical changes relating to costs to organizations and Medicare cost reports; finalization of interim final rules with comment period on LTCH PPS payments for severe wounds, modifications of limitations on redesignation by the Medicare Geographic Classification Review Board, and extensions of payments to MDHs and low-volume hospitals: Final rule
    • Centers for Medicare and Medicaid Services
    • Centers for Medicare and Medicaid Services. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and policy changes and fiscal year 2017 rates; quality reporting requirements for specific providers; graduate medical education; hospital notification procedures applicable to beneficiaries receiving observation services; technical changes relating to costs to organizations and Medicare cost reports; finalization of interim final rules with comment period on LTCH PPS payments for severe wounds, modifications of limitations on redesignation by the Medicare Geographic Classification Review Board, and extensions of payments to MDHs and low-volume hospitals: final rule. Fed Regist. 2016;81(162):56761-57345.
    • (2016) Fed Regist , vol.81 , Issue.162 , pp. 56761-57345
  • 26
    • 84979616959 scopus 로고    scopus 로고
    • Accessed October 4, 2017
    • Centers for Medicare & Medicaid Services. Hospital Compare datasets. https://data.medicare.gov/data/hospital-compare. Accessed October 4, 2017.
    • Hospital Compare Datasets
  • 27
    • 0031613172 scopus 로고    scopus 로고
    • Comorbidity measures for use with administrative data
    • Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36(1):8-27. doi:10.1097 /00005650-199801000-00004
    • (1998) Med Care , vol.36 , Issue.1 , pp. 8-27
    • Elixhauser, A.1    Steiner, C.2    Harris, D.R.3    Coffey, R.M.4
  • 28
    • 27744568384 scopus 로고    scopus 로고
    • Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data
    • Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43(11):1130-1139. doi:10.1097/01.mlr.0000182534.19832.83
    • (2005) Med Care , vol.43 , Issue.11 , pp. 1130-1139
    • Quan, H.1    Sundararajan, V.2    Halfon, P.3
  • 30
    • 0001566850 scopus 로고
    • Identification and estimation of local average treatment effects
    • Imbens GW, Angrist JD. Identification and estimation of local average treatment effects. Econometrica. 1994;62(2):467-475. doi:10.2307 /2951620
    • (1994) Econometrica , vol.62 , Issue.2 , pp. 467-475
    • Imbens, G.W.1    Angrist, J.D.2
  • 31
    • 0023092594 scopus 로고
    • A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation
    • Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-383. doi:10.1016/0021-9681(87)90171-8
    • (1987) J Chronic Dis , vol.40 , Issue.5 , pp. 373-383
    • Charlson, M.E.1    Pompei, P.2    Ales, K.L.3    MacKenzie, C.R.4
  • 33
    • 85041090820 scopus 로고    scopus 로고
    • Bundled-payment joint replacement programs winning over surgeons
    • October Accessed July 18, 2018
    • Meyer H. Bundled-payment joint replacement programs winning over surgeons. Modern Healthcare. October 2017. http://www.modernhealthcare.com/article/20171007/NEWS /171009950. Accessed July 18, 2018.
    • (2017) Modern Healthcare
    • Meyer, H.1
  • 34
    • 33744950514 scopus 로고    scopus 로고
    • Understanding instrumental variables in models with essential heterogeneity
    • Heckman JJ, Vytlacil E, Urzua S. Understanding instrumental variables in models with essential heterogeneity. Rev Econ Stat. 2006;LXXXVIII(3). doi:10.1162/rest.88.3.389
    • (2006) Rev Econ Stat , vol.88 , Issue.3
    • Heckman, J.J.1    Vytlacil, E.2    Urzua, S.3
  • 35
    • 84958174146 scopus 로고    scopus 로고
    • Accessed July 18, 2018
    • Centers for Medicare & Medicaid Services. Comprehensive Care for Joint Replacement model. 2018. https://innovation.cms.gov/initiatives/cjr. Accessed July 18, 2018.
    • (2018) Comprehensive Care for Joint Replacement Model
  • 36
    • 85043285953 scopus 로고    scopus 로고
    • Characteristics of hospitals earning savings in the first year of mandatory bundled payment for hip and knee surgery
    • Navathe AS, Liao JM, Shah Y, et al. Characteristics of hospitals earning savings in the first year of mandatory bundled payment for hip and knee surgery. JAMA. 2018;319(9):930-932. doi:10.1001/jama.2018.0678
    • (2018) JAMA , vol.319 , Issue.9 , pp. 930-932
    • Navathe, A.S.1    Liao, J.M.2    Shah, Y.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.