Matches in SemOpenAlex for { <https://semopenalex.org/work/W2296947074> ?p ?o ?g. }
- W2296947074 endingPage "e160202" @default.
- W2296947074 startingPage "e160202" @default.
- W2296947074 abstract "<h3>Importance</h3> The Bundled Payments for Care Improvement Initiative was proposed by the Centers for Medicare and Medicaid Services to obtain and reward a greater value of care. Still in its infancy, little is known regarding the potential effects of the Bundled Payments for Care Improvement Initiative on hospital payments and net margins. <h3>Objective</h3> To investigate the potential effects of the Bundled Payments for Care Improvement Initiative on net margins among Medicare patients undergoing colectomy at a tertiary care hospital. <h3>Design, Setting, and Participants</h3> Cross-sectional retrospective analysis conducted in October 2015. Medicare enrollees undergoing an elective colectomy at a large tertiary care hospital between January 1, 2009, and December 31, 2013, were identified using diagnosis-related group and<i>International Classification of Diseases, Ninth Revision, Clinical Modification</i>diagnosis codes. <h3>Main Outcomes and Measures</h3> Multivariable linear regression analysis was performed to calculate risk-adjusted, diagnosis-related group–specific hospital costs and payments for each patient. Net margins were calculated as the difference between total hospital costs and total payments received. <h3>Results</h3> A total of 821 Medicare enrollees underwent an elective colectomy and met inclusion criteria. The median age of patients was 69 years (interquartile range [IQR], 65-74 years), with 51.3% being female. Postoperative complications were observed among 27.5% of patients (n = 226) and the median length of stay was 8 days (IQR, 5-14 days). The median risk-adjusted cost among all patients was $24 951 (IQR, $16 197-$38 922). Risk-adjusted costs were higher among patients who developed a postoperative complication ($42 537 [IQR, $28 918-$72 316] vs $22 829 [IQR, $14 820-$26 150];<i>P</i> < .001) and among patients with an observed to expected length of stay greater than 1 ($36 826 [IQR, $24 951-$65 016] vs $16 197 [IQR, $14 182-$23 998];<i>P</i> < .001). The median payment under the fee-for-service structure was $29 603 (IQR, $17 742-$44 819), resulting in an overall net margin of $3177 (IQR, −$1692 to $10 773), with 33.7% of patients (n = 277) contributing to an overall negative margin. In contrast, under the bundled payment paradigm, the net margin per patient was $3442 (IQR, −$9311 to $8203), with 41.7% of patients (n = 342) contributing to a net negative margin. <h3>Conclusions and Relevance</h3> Postoperative complications, length of stay, and total hospital costs were strongly associated with hospital costs. Payments under the bundled payments system were lower and the proportion of patients contributing to a net negative margin increased. Further study is warranted to define the effect of bundled payments on quality of care and hospital finances." @default.
- W2296947074 created "2016-06-24" @default.
- W2296947074 creator A5004066994 @default.
- W2296947074 creator A5007802300 @default.
- W2296947074 creator A5016519845 @default.
- W2296947074 creator A5040207323 @default.
- W2296947074 creator A5040348580 @default.
- W2296947074 creator A5063591981 @default.
- W2296947074 creator A5085804113 @default.
- W2296947074 creator A5086040195 @default.
- W2296947074 date "2016-05-18" @default.
- W2296947074 modified "2023-10-12" @default.
- W2296947074 title "Bundled Payments for Surgical Colectomy Among Medicare Enrollees" @default.
- W2296947074 cites W1532950168 @default.
- W2296947074 cites W1747616615 @default.
- W2296947074 cites W1968321210 @default.
- W2296947074 cites W2000445173 @default.
- W2296947074 cites W2011414747 @default.
- W2296947074 cites W2041653029 @default.
- W2296947074 cites W2043724153 @default.
- W2296947074 cites W2057539585 @default.
- W2296947074 cites W2070805374 @default.
- W2296947074 cites W2100008967 @default.
- W2296947074 cites W2102526641 @default.
- W2296947074 cites W2111259273 @default.
- W2296947074 cites W2112086490 @default.
- W2296947074 cites W2114144775 @default.
- W2296947074 cites W2154300715 @default.
- W2296947074 cites W2158186756 @default.
- W2296947074 cites W2163726336 @default.
- W2296947074 cites W2169192944 @default.
- W2296947074 cites W2215877897 @default.
- W2296947074 cites W2324068988 @default.
- W2296947074 doi "https://doi.org/10.1001/jamasurg.2016.0202" @default.
- W2296947074 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26982244" @default.
- W2296947074 hasPublicationYear "2016" @default.
- W2296947074 type Work @default.
- W2296947074 sameAs 2296947074 @default.
- W2296947074 citedByCount "22" @default.
- W2296947074 countsByYear W22969470742016 @default.
- W2296947074 countsByYear W22969470742017 @default.
- W2296947074 countsByYear W22969470742018 @default.
- W2296947074 countsByYear W22969470742019 @default.
- W2296947074 countsByYear W22969470742020 @default.
- W2296947074 countsByYear W22969470742021 @default.
- W2296947074 countsByYear W22969470742022 @default.
- W2296947074 crossrefType "journal-article" @default.
- W2296947074 hasAuthorship W2296947074A5004066994 @default.
- W2296947074 hasAuthorship W2296947074A5007802300 @default.
- W2296947074 hasAuthorship W2296947074A5016519845 @default.
- W2296947074 hasAuthorship W2296947074A5040207323 @default.
- W2296947074 hasAuthorship W2296947074A5040348580 @default.
- W2296947074 hasAuthorship W2296947074A5063591981 @default.
- W2296947074 hasAuthorship W2296947074A5085804113 @default.
- W2296947074 hasAuthorship W2296947074A5086040195 @default.
- W2296947074 hasBestOaLocation W22969470741 @default.
- W2296947074 hasConcept C10138342 @default.
- W2296947074 hasConcept C119060515 @default.
- W2296947074 hasConcept C121608353 @default.
- W2296947074 hasConcept C126322002 @default.
- W2296947074 hasConcept C141071460 @default.
- W2296947074 hasConcept C145097563 @default.
- W2296947074 hasConcept C160735492 @default.
- W2296947074 hasConcept C162324750 @default.
- W2296947074 hasConcept C167135981 @default.
- W2296947074 hasConcept C194828623 @default.
- W2296947074 hasConcept C2776534028 @default.
- W2296947074 hasConcept C2776667177 @default.
- W2296947074 hasConcept C50522688 @default.
- W2296947074 hasConcept C526805850 @default.
- W2296947074 hasConcept C71924100 @default.
- W2296947074 hasConceptScore W2296947074C10138342 @default.
- W2296947074 hasConceptScore W2296947074C119060515 @default.
- W2296947074 hasConceptScore W2296947074C121608353 @default.
- W2296947074 hasConceptScore W2296947074C126322002 @default.
- W2296947074 hasConceptScore W2296947074C141071460 @default.
- W2296947074 hasConceptScore W2296947074C145097563 @default.
- W2296947074 hasConceptScore W2296947074C160735492 @default.
- W2296947074 hasConceptScore W2296947074C162324750 @default.
- W2296947074 hasConceptScore W2296947074C167135981 @default.
- W2296947074 hasConceptScore W2296947074C194828623 @default.
- W2296947074 hasConceptScore W2296947074C2776534028 @default.
- W2296947074 hasConceptScore W2296947074C2776667177 @default.
- W2296947074 hasConceptScore W2296947074C50522688 @default.
- W2296947074 hasConceptScore W2296947074C526805850 @default.
- W2296947074 hasConceptScore W2296947074C71924100 @default.
- W2296947074 hasIssue "5" @default.
- W2296947074 hasLocation W22969470741 @default.
- W2296947074 hasLocation W22969470742 @default.
- W2296947074 hasOpenAccess W2296947074 @default.
- W2296947074 hasPrimaryLocation W22969470741 @default.
- W2296947074 hasRelatedWork W2061253854 @default.
- W2296947074 hasRelatedWork W2222398948 @default.
- W2296947074 hasRelatedWork W2774644753 @default.
- W2296947074 hasRelatedWork W2969502057 @default.
- W2296947074 hasRelatedWork W2971392718 @default.
- W2296947074 hasRelatedWork W3037686638 @default.
- W2296947074 hasRelatedWork W3143511074 @default.