The main objectives of this study were to document research on BPCI and review the literature for evidence pertinent to the advantages and limitations of the BPCI funding mechanism. We searched the PubMed database for bundle payment studies using the search terms bundle payment and BPCI program. A systematic approach was used to guide the synthesis of literature and the effects reported. Between 2008 and June, 2017, 51 studies were identified in PubMed which reported results on bundling of payments. Among these studies, 33.3% (n=17) were quantitative and 66.6% (n=34) were qualitative. 27 of the 51 articles reported positive financial outcomes, and 14 reported negative financial outcomes. 30 showed improvement in patient care while 9 showed deterioration in patient care. Effects varied by specialty and clinic characteristics. The long-term effects of the BPCI program on patient care need further empirical examination and additional research to evaluate its effectiveness.
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2.
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5.
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7.
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8.
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11.
DoranJ. P., & ZabinskiS. J. (2015). Bundled payment initiatives for Medicare and non-Medicare total joint arthroplasty patients at a community hospital: bundles in the real world. The Journal of arthroplasty, 30(3), 353–355.
12.
EdwardsP. K., MearsS. C., & BarnesC. L. (2017). BPCI: Everyone Wins, Including the Patient. The Journal of arthroplasty, 32(6), 1728–1731.
13.
FroemkeC. C., WangL., DeHartM. L., WilliamsonR. K., KoL. M., & DuweliusP. J. (2015). Standardizing Care and Improving Quality under a Bundled Payment Initiative for Total Joint Arthroplasty. J Arthroplasty, 30(10), 1676–1682. doi:10.1016/j.arth.2015.04.028.
14.
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15.
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16.
IorioR., ClairA. J., InnehI. A., SloverJ. D., BoscoJ. A., & ZuckermanJ. D. (2016). Early results of Medicare's bundled payment initiative for a 90-day total joint arthroplasty episode of care. The Journal of arthroplasty, 31(2), 343–350.
17.
JohnsonD. J., GreenbergS. E., SathiyakumarV., ThakoreR., EhrenfeldJ. M., ObremskeyW. T., & SethiM. K. (2015). Relationship between the Charlson Comorbidity Index and cost of treating hip fractures: implications for bundled payment. Journal of Orthopaedics and Traumatology, 16(3), 209–213.
18.
LennoxL., GreenS., HoweC., MusgraveH., BellD., & ElkinS. (2014). Identifying the challenges and facilitators of implementing a COPD care bundle. BMJ open respiratory research, 1(1), e000035.
19.
O'ByrneT. J., ShahN. D., WoodD., NesseR. E., KillingerP. J., LitchyW. J., … NaessensJ. M., (2013). Episode-based payment: evaluating the impact on chronic conditions. Medicare & medicaid research review, 3(3).
20.
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21.
RidgelyM. S., De VriesD., BozicK. J., & HusseyP. S. (2014). Bundled payment fails to gain a foothold in California: The experience of the IHA bundled payment demonstration. Health Affairs, 33(8), 1345–1352.
22.
ScottB. C., & EmingerT. L. (2016). Bundled Payments: Value-Based Care Implications for Providers, Payers, and Patients. Am Health Drug Benefits, 9(9), 493–496.
23.
SiddiqiA., WhiteP. B., MistryJ. B., GwamC. U., NaceJ., MontM. A., & DelanoisR. E. (2017). Effect of Bundled Payments and Healthcare Reform as Alternative Payment Models in Total Joint Arthroplasty: A Clinical Review. The Journal of Arthroplasty.
24.
SloverJ. D. (2016). You want a successful bundle: what about post-discharge care?The Journal of arthroplasty, 31(5), 936–937.
25.
WeinerD. E., & WatnickS. G. (2010). The 2009 proposed rule for prospective ESRD payment: historical perspectives and public policies—bundle up!American Journal of Kidney Diseases, 55(2), 217–222.
26.
WishD. (2009). Revisions in the end stage renal disease prospective payment system: implications for nephrology nurses. Nephrology Nursing Journal, 36(6), 635.
27.
YountK. W., IsbellJ. M., LichtendahlC., DietchZ., AilawadiG., KronI. L., … LauC. L., (2015). Bundled Payments in Cardiac Surgery: Is Risk Adjustment Sufficient to Make It Feasible?The Annals of thoracic surgery, 100(5), 1646–1652.
