Short-term functional recovery after total joint arthroplasty is unaffected by bundled payment participation.

ABSTRACT:

Background

Bundled payment models for lower extremity total joint arthroplasty (TJA) aim to improve value by decreasing costs via efficient care pathways. It is unclear how such models affect patient-centered outcomes such as functional recovery. We aimed to determine whether participation in bundled payment for TJA negatively affects patients' functional recovery.

Methods

All patients, regardless of payer, undergoing elective TJA between July 2014 and December 2016 were identified retrospectively and categorized into prebundle (n = 680) and postbundle (n = 1216) cohorts. Mixed-effects linear regression and Wald postests were used to test for differences in patients' functional recovery during the hospital period and over 12 months after TJA between cohorts. We also used mul

SUBMITTER: Johnson JK 

PROVIDER: S-EPMC6470353 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature