The global Medicare payment model reduced replacement costs by more than 20 percent

The savings have greatly reduced the costs of prosthetic joints and rehabilitation after surgery.
The payment can be paid models grouped health costs and health costs to a large extent without sacrificing the quality of care, according to new research from the University of Pennsylvania Pearlman School of Medicine. This study is the first to combine the costs of hospital data and Medicare claims to determine the factors that drive joint replacement keto fire diet┬ácost savings – cost and quality of care assessment when replacing hip joints and hip joints. Knee that were made from 2008-2015 in the Baptist Health System (BHS) Network of the five hospitals in San Antonio, Texas The results show posted online in the Archives of Internal Medicine that the average cost decreased by 20.8 percent , while the impact on the quality of care has not changed or improved.

“This study shows how one of the participants in the assembly savings achieved in hospital payments and after discharge, while reducing Medicare – all without compromising quality,” says lead author Amol S. Navathe, MD , Ph.D., assistant in the department of professor of medical ethics, health policy at the Perelman School of Medicine at the University of Pennsylvania, and member of the Cent Center for health incentives and behavioral economics. “Provide guidance for both service providers and the new administration that takes into account decisions affecting patients and the health of the community at the country level.” Lawmakers should point to the fact that the results suggest that hospitals can directly benefit from the package payment models. ”

In recent years, health care services and health care centers (CMS) and some private health insurance companies started moving to package payment models to help reduce costs. Under the complex payment model, the insurance company for hospitals to pay a fixed amount of common procedures and associated costs, instead of reimbursing the services and supplies that are listed separately.

The results of the analysis showed that for 3,738 patients received joint replacement surgery had no significant pre-existing complications, the average cost of replacement joints decreased in addition to 30 days after acute care (PAC) starting at $ 26,785 in 2008 to 21, $ 208 in 2015, a decrease of $ 5,577, or 20.8 percent, per patient.

The cost cuts came mainly from two sources:

A decrease of 29 percent (US $ 1,920.68) in the average cost of an artificial joint condition is achieved in part through the use of existing evidence data for the involvement of surgeons and manufacturers; Y
A decrease of 27% ($ 2,423) in the average expenditure per case in the PAC, and was achieved after adding PAC to the packages.
BHS also observed a 67% reduction in prolonged hospital stays, a true measure of surgical complications, while the patient’s condition remained unchanged.

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