This cohort study and difference-in-differences analysis of PGPs and hospital participation in BPCI found that bundled payments were associated with cost savings for surgical episodes for PGPs, and savings for both surgical and medical episodes for hospitals. Policy makers should consider the comparative performance of participant types when designing and evaluating bundled payment models.
Liao JM, Huang Q, Wang E, et al. Performance of Physician Groups and Hospitals Participating in Bundled Payments Among Medicare Beneficiaries. JAMA Health Forum. 2022;3(12):e224889. doi:10.1001/jamahealthforum.2022.4889
The study results suggest that low-value care is less common in Medicare Advantage than Traditional Medicare, with elements of insurance design present in Medicare Advantage associated with fewer low-value services.
Boudreau E, Schwartz R, Schwartz AL, et al. Comparison of Low-Value Services Among Medicare Advantage and Traditional Medicare Beneficiaries. JAMA Health Forum. 2022;3(9):e222935. doi:10.1001/jamahealthforum.2022.2935
Selection and Causal Effects in Voluntary Programs: Bundled Payments in Medicare