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Spillover effects of mandatory hip and knee replacement surgery bundles in medicare

机译:Medicare中强制性髋关节和膝关节置换手术捆绑的溢出效应

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Background: Medicare used the Comprehensive Care for Joint Replacement (CJR) Model to mandate that hospitals in certain health care markets accept bundled payments for lower extremity joint replacement surgery. CJR has reduced spending with stable quality as intended among Medicare fee-for-service patients, but benefits could "spill over" to individuals insured through private health plans. Definitive evidence of spillovers remains lacking.
机译:背景:Medicare采用关节置换综合护理(CJR)模式,要求某些医疗市场的医院接受下肢关节置换手术的捆绑付款。CJR减少了医疗保险收费患者的支出,质量稳定,但福利可能“溢出”到通过私人医疗计划投保的个人。关于溢出效应的确切证据仍然缺乏。

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