Variations in Cost and Readmissions of Patients in the Bundled Payment for Care Improvement Bundle for Hip and Femur Fractures

1. Wise, KL, Blaschke, BL, Parikh, HR. Variation of the inpatient cost of care in the treatment of isolated geriatric intertrochanteric hip fractures. Geriatr Orthop Surg Rehabil 2020;11:2151459320976533. doi:10.1177/2151459320976533.
Google Scholar | SAGE Journals2. Agarwal, R, Liao, JM, Gupta, A, Navathe, AS. The impact of bundled payment on health care spending, utilization, and quality: a systematic review. Health Aff. 2020;39(1):50-57. DOI: 10.1377/hlthaff.2019.00784.
Google Scholar | Crossref3. Cairns, MA, Ostrum, RF, Clement, RC. Refining risk adjustment for the proposed CMS surgical hip and femur fracture treatment bundled payment program. J Bone Jt Surg. 2018;100(4):269-277. DOI: 10.2106/JBJS.17.00327.
Google Scholar | Crossref | Medline4. Center for Medicare and Medicaid Services . Bundled Payments for Care Improvement Initiative: General Information. Baltimore, MD: Center for Medicare and Medicaid Services; 2020. https://innovation.cms.gov/innovation-models/bundled-payments. Accessed March 10, 2021.
Google Scholar5. Department of Health and Human Services . FY 2020 Annual Performance Plan and Report by Office of Secretary. Washington, DC: Department of Health and Human Services; 2019. https://www.hhs.gov/about/budget/fy2020/performance/performance-plan-goal-1-objective-1/index.html. Accessed March 10, 2021.
Google Scholar6. Center for Medicare and Medicaid Services . Surgical Hip and Femur Fracture Treatment Model Provider and Technical Fact Sheet. Baltimore, MD: Center for Medicare and Medicaid Services; 2016. https://innovation.cms.gov/files/fact-sheet/shfft-proividertech-fs.pdf. Accessed March 10, 2021.
Google Scholar7. Center for Medicare and Medicaid Services . ICD-10-CM/PCS MS-DRG V37.0 Definitions Manual. Baltimore, MD: Center for Medicare and Medicaid Services; 2016. https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0193.html. Accessed March 10, 2021.
Google Scholar8. Healthcare Cost and Utilization Project . Overview of the Nationwide Readmissions Database (NRD). Rockwile, MD: Healthcare Cost and Utilization Project; 2016. https://www.hcup-us.ahrq.gov/nrdoverview.jsp. Accessed March 11, 2021
Google Scholar9. Healthcare Cost and Utilization Project . NRD Description of Data Elements. Rockwile, MD: Healthcare Cost and Utilization Project; 2016. https://www.hcup-us.ahrq.gov/db/nation/nrd/nrddde.jsp. Accessed March 11, 2021
Google Scholar10. StataCorp 2015. Stata Statistical Software: Release 14. College Station, TX: StataCorp LP.
Google Scholar11. Averill, RF, Center for Medicare and Medicaid Services. Development of the ICD-10 Procedure Coding System (ICD-10-PCS). Baltimore, MD: Center for Medicare and Medicaid Services; 2016. https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2014-pcs-procedure-coding-system.pdf.
Google Scholar12. WilsonMedicare, L. Advantage Patients’ Readmission Rates Higher than Traditional Medicare. 2019. https://www.healthcaredive.com/news/ma-patients-readmission-rates-higher-than-traditional-medicare-study-find/557694/. Accessed .
Google Scholar13. Wadhera, R, Maddox, K, Kazi, D, Shen, C, Yeh, R. Hospital Revisits Within 30 Days After Discharge for Medical Conditions Targeted by the Hospital Readmissions Reduction Program in the United States: National Retrospective Analysis. 2019. https://www.bmj.com/content/366/bmj.l456. https://www.bmj.com/content/366/bmj.l456. Accessed March 11, 2021.
Google Scholar | Crossref14. Centers for Medicare & Medicaid Services . Guide to Reducing Disparities in Readmissions. Baltimore, MD: Center for Medicare & Medicaid Services; 2018. https://www.cms.gov/about-cms/agency-information/omh/downloads/omh_readmissions_guide.pdf
Google Scholar15. Clark, JM, Utter, GH, Nuño, M, Romano, PS, Brown, LM, Cooke, DT. ICD-10-CM/PCS: potential methodologic strengths and challenges for thoracic surgery researchers and reviewers. J Thorac Dis. 2019;11(suppl 4):S585-S595. DOI: 10.21037/jtd.2019.01.86.
Google Scholar | Crossref | Medline16. Leppert, MA. Coding for Musculoskeletal Procedures in ICD-10-PCS. Just Coding News. 2012. https://www.hcpro.com/HIM-279209-3288/Coding-for-musculoskeletal-procedures-in-ICD10PCS.html. Accessed
Google Scholar17. RoatRemove, L. Replace, or Revise: Review of ICD-10-PCS. 2014. https://www.icd10monitor.com/remove-replace-or-revise-review-of-icd-10-pcs#:∼:text=Replacement%3A%20putting%20in%20or%20on,position%20of%20a%20displaced%20device. Accessed .
Google Scholar18. Rihanek, T . Coding root operations with ICD-10-PCS: understanding transplantation, reattachment, transfer, and reposition. Journal of AHIMA. 2013;84(9):76-79.
Google Scholar | Medline19. Center For Medicare and Medicaid Services . ICD-10-PCS Official Guidelines for Coding and Reporting 2017. Section A11. Baltimore, MD: Center for Medicare & Medicaid Services; 2017. https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2017-Official-ICD-10-PCS-Coding-Guidelines.pdf. Accessed March 10, 2021.
Google Scholar20. Kammerlander, C, Riedmüller, P, Gosch, M, et al. Functional outcome and mortality in geriatric distal femoral fractures. Injury. 2012;43(7):1096-1101. DOI: 10.1016/j.injury.2012.02.014.
Google Scholar | Crossref | Medline | ISI21. Malik, AT, Khan, SN, Ly, TV, Phieffer, L, Quatman, CE. The “Hip Fracture” bundle-experiences, challenges, and opportunities. Geriatr Orthop Surge Rehabil 2020;11. doi:10.1177/2151459320910846.
Google Scholar | SAGE Journals22. Neiman Health Policy Institute . Understanding Bundled Payments. Reston, VA: Neiman Health Policy Institute; 2016. https://www.neimanhpi.org/ice-t/understanding-bundled-payments/. accessed March 11, 2021.
Google Scholar23. Ragland, K, Reif, R, Karim, S, . Demographics, treatment, and cost of periprosthetic femur fractures: fixation versus revision. Geriatr Orthop Surge Rehabil 2020;11:2151459320910846. doi:10.1177/2151459320939550.
Google Scholar | SAGE Journals24. Finkel, C, Worsowicz, G. Changing payment models: shifting focus on post acute care. Mo Med. 2017;114(1):57-60.
Google Scholar | Medline25. Kelly, B, Parikh, HR, McCreary, DL, McMillan, L, Horst, PK, Cunningham, BP. Financial implications for the treatment of medicare patients with isolated intertrochanteric femur fractures: disproportionate losses among healthier patients. Geriatr Orthop Surge Rehabil 2020;11:2151459320916947. doi:10.1177/2151459320916947.
Google Scholar | SAGE Journals | ISI26. Wodowski, AJ, Pelt, CE, Erickson, JA, Anderson, MB, Gililland, JM, Peters, CL. ‘Bundle busters’. Bone Jt J. 2019;101-B(7_suppl e_C):64-69.
Google Scholar | Crossref | Medline27. Rondon, AJ, Phillips, JLH, Fillingham, YA, Gorica, Z, Austin, MS, Courtney, PM. bundled payments are effective in reducing costs following bilateral total joint arthroplasty. J Arthroplasty. 2019;34(7):1317-1321. e2 DOI: 10.1016/j.arth.2019.03.041.
Google Scholar | Crossref | Medline

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