Hospital Responses to Incentives in Episode-Based Payment for Joint Surgery | Zendy

Andrew D. Wilcock | Zendy; Michael L. Barnett | Zendy; J. Michael McWilliams | Zendy; David C. Grabowski | Zendy; Ateev Mehrotra | Zendy

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Hospital Responses to Incentives in Episode-Based Payment for Joint Surgery

Author(s) -

Andrew D. Wilcock,

Michael L. Barnett,

J. Michael McWilliams,

David C. Grabowski,

Ateev Mehrotra

Publication year - 2021

Publication title -

jama internal medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 5.14

H-Index - 342

eISSN - 2168-6114

pISSN - 2168-6106

DOI - 10.1001/jamainternmed.2021.1897

Subject(s) - medicine , incentive , payment , family medicine , physical therapy , finance , economics , microeconomics

Medicare's Comprehensive Care for Joint Replacement (CJR) model, initiated in 2016, is a national episode-based payment model for lower-extremity joint replacement (LEJR). Metropolitan statistical areas (MSAs) were randomly assigned to participation. In the third year of the program, Medicare made hospital participation voluntary in half of the MSAs and enabled LEJRs for knees to be performed in the outpatient setting without being subject to episode-based payment. How these changes affected program savings is unclear.

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