Our Publications

Below are all available peer-reviewed research publications authored by Dr. Amol S. Navathe, MD, PhD, the Payment Insights Team, and/or our associated collaborators.

Differential Hospital Participation in Bundled Payments in Communities with Higher Shares of Marginalized Populations

Read Publication JGIM

In this article the authors examine whether communities with higher proportions of marginalized individuals were less likely to be served by a hospital participating in Bundled Payments for Care Improvement Advanced. The authors find that communities with greater shares of dual-eligible beneficiaries, but not racial or ethnic minorities, were less likely to be served by a hospital participating in BPCI-Advanced Policymakers should consider approaches to incentivize more socioeconomically uniform participation in voluntary bundled payments.

Aidan P. Crowley BS, Sarah Neville PhD, Chuxuan Sun MPA, Qian Erin Huang MPH, Deborah Cousins MS, Torrey Shirk BA, Jingsan Zhu MS, MBA, Austin Kilaru MD, MS, Joshua M. Liao MD, MSc & Amol S. Navathe MD, PhD. Differential Hospital Participation in Bundled Payments in Communities with Higher Shares of Marginalized Populations. J GEN INTERN MED (2024). https://doi.org/10.1007/s11606-024-08655-4

Principles to Inform Risk Adjustment: Policy Reflection From the Front Lines

Read Publication JAMA

Amol Navathe and Daniel M. Horn give a reflection from the front lines and practicing clinicians and clinical leaders.

Horn DM, Navathe AS. Principles to Inform Risk Adjustment Policy: Reflection From the Front Lines. JAMA. Published online August 11, 2023. doi:10.1001/jama.2023.12830

Using Advanced Payments In Population-Based Models To Address Equity

Read Publication Health Affairs

This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care.

This article is written by Joshua Liao and Amol Navathe in response to the latest developments in policy and research affecting accountable care. Other authors will contribute to the series as well.

Additional articles will be published throughout 2023. Readers are encouraged to review the Call for Submissions for this series. 

"Using Advanced Payments In Population-Based Models To Address Equity", Health Affairs Forefront, May 25, 2023. DOI: 10.1377/forefront.20230524.708820

Hospital Consolidation: The Rise of Geographically Distant Mergers

Read Publication JAMA

In this Viewpoint, Dr. Amol Navathe and John Connolly describe how and why cross-market mergers are different than prototypical within-market mergers in their effects on patients and communities, why the trend toward cross-market mergers may be accelerating, and future policy and research directions.

Navathe AS, Connolly JE. Hospital Consolidation: The Rise of Geographically Distant Mergers. JAMA. Published online April 13, 2023. doi:10.1001/jama.2023.5391

Performance of Physician Groups and Hospitals Participating in Bundled Payments Among Medicare Beneficiaries

Read Publication JAMA Health Forum

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 Path Ahead for Bundled Payments

Read Publication JAMA

This article discusses where bundled payment policy currently stands and what is likely ahead given trends over the last decade. 

Liao JM, Navathe AS. The Path Ahead for Bundled Payments. JAMA. 2022;328(16):1592–1594. doi:10.1001/jama.2022.18191

Early Findings From Medicare’s End-Stage Renal Disease Treatment Choices Model

Read Publication JAMA Health Forum

This work examines Medicare's End-Stage Renal Disease Treatment Choices (ETC) Model and reviews the efficacy of this model as policy implementation. 

Tummalapalli SL, Navathe AS, Ibrahim SA. Early Findings From Medicare’s End-Stage Renal Disease Treatment Choices Model. JAMA Health Forum. 2022;3(10):e223500. doi:10.1001/jamahealthforum.2022.3500

Medicare’s Bundled Payment Models

Read Publication JAMA

A comment and response dialoguing with a recently published viewpoint suggesting that bundled payments represent a promising part of payment reform.

Navathe AS, Liao JM. Medicare’s Bundled Payment Models. JAMA. 2022;328(10):984–985. doi:10.1001/jama.2022.11712

Comparison of Low-Value Services Among Medicare Advantage and Traditional Medicare Beneficiaries

Read Publication JAMA Health Forum

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

Read Publication SSRN

Gupta A, Navathe AS, Martinez J