2018 John Charnley Award: Analysis of US Hip Replacement Bundled Payments: Physician-initiated Episodes Outperform Hospital-initiated Episodes.

CONCLUSIONS: Even when controlling for decreasing costs in traditional fee-for-service care, BPCI is associated with payment reduction with no change in adverse events, and this is not because of the selection of younger patients or those with fewer comorbidities. Furthermore, physician group practices were associated with greater payment reduction than hospital programs with no difference in readmission or mortality from baseline for either. Physicians may be a more logical group than hospitals to manage payment reduction in future healthcare reform.
LEVEL OF EVIDENCE: Level II, economic and decision analysis.
PMID: 30664603 [PubMed - in process]

Source: Clinical Orthopaedics and Related Research - January 23, 2019 Category: Orthopaedics Authors: Murphy WS, Siddiqi A, Cheng T, Lin B, Terry D, Talmo CT, Murphy SB Tags: Clin Orthop Relat Res Source Type: research