A new study has shown that hospitals in low-income communities were less likely to participate in bundled payment programs for joint replacement surgery. Hospitals with more low socioeconomic status individuals were less likely to participate in voluntary – and to an even greater extent, mandatory – bundled payment programs, according to the study published in the peer-reviewed journal Population Health Management. Click here to read the article now.
Joshua Liao, MD, from the University of Washington School of Medicine, and coauthors, used Medicare claims and data from the Bundled Payments for Care Improvement initiative and Comprehensive Care for Joint Replacement model to examine whether hospitals’ bundled payment participation is related to the proportion of historically marginalized individuals in the communities they serve. The authors discuss the policy implications of their findings.
“These findings raise concerns about generalizability of overall program results and potential disparities and suggest that policymakers should consider communities’ social factors and participation type in the design of future bundled payment programs,” conclude the investigators.
“Bundle payments work to reduce waste and improve outcomes. However, if ethnic disparities persist in deploying bundle payments, everyone loses. Research like this is important to uncover these shortcomings and provide an incentive to change,” says David Nash, MD, MBA, Editor-in-Chief of Population Health Management and Founding Dean Emeritus and Dr. Raymond C. and Doris N. Grandon Professor, Jefferson College of Population Health, Philadelphia, PA.
About the Journal
Population Health Management is an authoritative peer-reviewed journal published bimonthly in print and online that reflects the expanding scope of health care management and quality. The Journal delivers a comprehensive, integrated approach to the field of population health and provides information designed to improve the systems and policies that affect health care quality, access, and outcomes. Comprised of peer-reviewed original research papers, clinical research, and case studies, the content encompasses a broad range of chronic diseases (such as cardiovascular disease, cancer, chronic pain, diabetes, depression, and obesity) in addition to focusing on various aspects of prevention and wellness. Tables of Contents and a sample issue may be viewed on the Population Health Management website. Population Health Management is the official journal of the Population Health Alliance.
About the Publisher
Mary Ann Liebert, Inc., publishers is known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research. A complete list of the firm’s 90 journals, books, and newsmagazines is available on the Mary Ann Liebert, Inc., publishers website.
Population Health Management
Method of Research
Subject of Research
The Proportion of Marginalized Individuals in US Communities and Hospital Participation in Bundled Payments