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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 3 of 3 Research Studies DisplayedNathan H, Dimick JB
Medicare's shift to mandatory alternative payment models: why surgeons should care.
This opinion piece addresses alternative payment models and mandatory payment reforms that will affect many surgical professionals. The authors use the example of the recent implementation of the Comprehensive Care for Joint Replacement (CJR) program, the first mandatory alternative payment model (APM) to guide the discussion.
AHRQ-funded; HS024763.
Citation: Nathan H, Dimick JB .
Medicare's shift to mandatory alternative payment models: why surgeons should care.
JAMA Surg 2017 Feb;152(2):125-26. doi: 10.1001/jamasurg.2016.4005..
Keywords: Payment, Medicare, Surgery
Ellimoottil C, Ryan AM, Hou H
Implications of the definition of an episode of care used in the comprehensive care for joint replacement model.
The researchers compared the Comprehensive Care for Joint Replacement (CJR) program's broad definition of an episode of care with a clinically narrow definition of an episode of care. The 90-day episode payments using the broad definition of the CJR model ranged from $17,349 to $29,465 (mean payment, $22,122). Episode payments were slightly lower (mean payment, $21,670) when the Hospital Compare definition was used.
AHRQ-funded; HS024193; HS018546.
Citation: Ellimoottil C, Ryan AM, Hou H .
Implications of the definition of an episode of care used in the comprehensive care for joint replacement model.
JAMA Surg 2017 Jan;152(1):49-54. doi: 10.1001/jamasurg.2016.3098.
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Keywords: Surgery, Healthcare Costs, Medicare, Payment
Chen LM, Norton EC, Banerjee M
Spending on care after surgery driven by choice of care settings instead of intensity of services.
The rising popularity of episode-based payment models for surgery underscores the need to better understand the drivers of variability in spending on postacute care. Examining postacute care spending for fee-for-service Medicare beneficiaries the researchers found that it varied widely between hospitals in the lowest versus highest spending quintiles but the variation diminished considerably after adjustment for postacute care setting (home health care, outpatient rehabilitation, skilled nursing facility, or inpatient rehabilitation facility).
AHRQ-funded; HS020671.
Citation: Chen LM, Norton EC, Banerjee M .
Spending on care after surgery driven by choice of care settings instead of intensity of services.
Health Aff 2017 Jan;36(1):83-90. doi: 10.1377/hlthaff.2016.0668.
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Keywords: Elderly, Healthcare Costs, Hospitals, Medicare, Surgery