Reconciliation Payments in the Bundled Payments for Care Improvement Advanced Program and Reductions in Clinical Spending Needed for CMS to Avoid Financial Losses

Andrew M Ryan; Sukruth A Shashikumar; Zoey Chopra; Karen E Joynt Maddox; Jason D Buxbaum

doi:10.1001/jama.2023.1435

Reconciliation Payments in the Bundled Payments for Care Improvement Advanced Program and Reductions in Clinical Spending Needed for CMS to Avoid Financial Losses

JAMA. 2023 Apr 11;329(14):1221-1223. doi: 10.1001/jama.2023.1435.

Authors

Andrew M Ryan¹, Sukruth A Shashikumar², Zoey Chopra³, Karen E Joynt Maddox², Jason D Buxbaum⁴

Affiliations

¹ Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.
² Department of Medicine, Washington University School of Medicine, St Louis, Missouri.
³ Department of Economics, University of Michigan, Ann Arbor.
⁴ Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.

No abstract available

Plain language summary

This study examines the magnitude of reconciliation payments and clinical spending reductions necessary for the Centers for Medicare & Medicaid Services to break even in the first 4 performance periods of the BPCI-A (Bundled Payments for Care Improvement Advanced) program.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Centers for Medicare and Medicaid Services, U.S.* / economics
Humans
Patient Care Bundles* / economics
Patient Care Bundles* / standards
Patient Readmission / economics
Quality Improvement* / standards
United States

Plain language summary

Publication types

MeSH terms

Grants and funding