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Background
Model 3 of Medicare's Bundled Payments for Care Improvement (BPCI) was a voluntary alternative payment model that held participating skilled nursing facilities (SNFs) accountable for 90‐day costs of care. Its overall impact on Medicare spending and clinical outcomes is unknown.
Methods
Retrospective cohort study using Medicare claims from 2012 to 2017. We used an interrupted time‐series...
Providers are assuming growing responsibility for healthcare spending, and prior studies have shown that spending is concentrated in a small proportion of patients. Using simple methods to segment these patients into clinically meaningful subgroups may be a useful and accessible strategy for targeting interventions to control costs.Using Medicare fee-for-service claims from 2011 (baseline year, used...
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