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By: Amanda Sutherland; Emily Boudreau; Andy Bowe; Qian Huang; Joshua M. Liao; Matthew Flagg; Deborah Cousins; Dana Drzayich Antol; William H. Shrank; Brian W. Powers; Amol S. Navathe
In this study of lower extremity joint replacement bundled payment program offered by a national Medicare Advantage insurer, findings suggest that physician practice participation in the program was associated with a decrease in episode spending without changes in quality. Bundled payments offered by private insurers, including Medicare Advantage plans, are an alternate payment option to fee for service that may reduce spending for lower extremity joint replacement episodes while maintaining quality of care.