{"id":"https://openalex.org/W2977057761","doi":"https://doi.org/10.1001/jamanetworkopen.2019.12270","title":"Association of Bundled Payments for Joint Replacement Surgery and Patient Outcomes With Simultaneous Hospital Participation in Accountable Care Organizations","display_name":"Association of Bundled Payments for Joint Replacement Surgery and Patient Outcomes With Simultaneous Hospital Participation in Accountable Care Organizations","publication_year":2019,"publication_date":"2019-09-27","ids":{"openalex":"https://openalex.org/W2977057761","doi":"https://doi.org/10.1001/jamanetworkopen.2019.12270","mag":"2977057761","pmid":"https://pubmed.ncbi.nlm.nih.gov/31560389","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6777392"},"language":"en","primary_location":{"id":"doi:10.1001/jamanetworkopen.2019.12270","doi":"https://doi.org/10.1001/jamanetworkopen.2019.12270","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2019.12270","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2752104/liao_2019_oi_190468.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2752104/liao_2019_oi_190468.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006868514","display_name":"Joshua M. Liao","orcid":"https://orcid.org/0000-0002-9788-9074","observed_orcids":["https://orcid.org/0000-0002-9788-9074"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua M. Liao","raw_affiliation_strings":["Department of Medicine, University of Washington School of Medicine, Seattle","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Washington School of Medicine, Seattle","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012567636","display_name":"Ezekiel Emanuel","orcid":"https://orcid.org/0000-0002-9796-5735","observed_orcids":["https://orcid.org/0000-0002-9796-5735"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ezekiel J. Emanuel","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039583563","display_name":"Atheendar S Venkataramani","orcid":"https://orcid.org/0000-0002-7612-8903","observed_orcids":["https://orcid.org/0000-0002-7612-8903"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Atheendar S. Venkataramani","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018086050","display_name":"Qian Erin Huang","orcid":"https://orcid.org/0000-0002-3447-5552","observed_orcids":["https://orcid.org/0000-0002-3447-5552"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Qian Huang","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078635992","display_name":"Claire T. Dinh","orcid":"https://orcid.org/0000-0001-7597-1125","observed_orcids":["https://orcid.org/0000-0001-7597-1125"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Claire T. Dinh","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014200672","display_name":"Eric Z. Shan","orcid":"https://orcid.org/0000-0002-9126-6933","observed_orcids":["https://orcid.org/0000-0002-9126-6933"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric Z. Shan","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052042992","display_name":"Erkuan Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erkuan Wang","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113959743","display_name":"Jingsan Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jingsan Zhu","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015542686","display_name":"Deborah S. Cousins","orcid":"https://orcid.org/0000-0001-5468-9745","observed_orcids":["https://orcid.org/0000-0001-5468-9745"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah S. Cousins","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053908011","display_name":"Amol S. Navathe","orcid":"https://orcid.org/0000-0001-7182-4988","observed_orcids":["https://orcid.org/0000-0001-7182-4988"]},"institutions":[{"id":"https://openalex.org/I4210133394","display_name":"Philadelphia VA Medical Center","ror":"https://ror.org/03j05zz84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133394","https://openalex.org/I4210147340"]},{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Amol S. Navathe","raw_affiliation_strings":["Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania","Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I4210133394"]},{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5053908011"],"corresponding_institution_ids":["https://openalex.org/I4210133394","https://openalex.org/I4405271814","https://openalex.org/I79576946"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":{"value":3000,"currency":"USD","value_usd":3000},"fwci":3.7027,"has_fulltext":true,"cited_by_count":21,"citation_normalized_percentile":{"value":0.93686378,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"2","issue":"9","first_page":"e1912270","last_page":"e1912270"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.007600000128149986,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bundled-payment","display_name":"bundled payment","score":0.9330000281333923},{"id":"https://openalex.org/keywords/accountable-care-organizations","display_name":"accountable care organizations","score":0.9679999947547913},{"id":"https://openalex.org/keywords/medicare-shared-savings-program","display_name":"Medicare Shared Savings Program","score":0.9419999718666077},{"id":"https://openalex.org/keywords/bundled-payments-for-care-improvement","display_name":"Bundled Payments for Care Improvement","score":0.9300000071525574},{"id":"https://openalex.org/keywords/lower-extremity-joint-replacement","display_name":"lower extremity joint replacement","score":0.9419999718666077},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.5080000162124634},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9020000100135803},{"id":"https://openalex.org/keywords/medicare-fee-for-service-beneficiaries","display_name":"Medicare fee-for-service beneficiaries","score":0.6359999775886536},{"id":"https://openalex.org/keywords/hospital-payment-models","display_name":"hospital payment models","score":0.42800000309944153},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.6100000143051147},{"id":"https://openalex.org/keywords/patient-outcomes","display_name":"patient outcomes","score":0.4259999990463257}],"concepts":[{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6956052780151367},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5015153884887695},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4866696000099182},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4490814208984375},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.42706790566444397},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.26390278339385986},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.20868510007858276},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1065167486667633},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.07166537642478943},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019643","descriptor_name":"Arthroplasty, Replacement","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019643","descriptor_name":"Arthroplasty, Replacement","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D060866","descriptor_name":"Accountable Care Organizations","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D060866","descriptor_name":"Accountable Care Organizations","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063868","descriptor_name":"Patient Outcome Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064872","descriptor_name":"Patient Care Bundles","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1001/jamanetworkopen.2019.12270","doi":"https://doi.org/10.1001/jamanetworkopen.2019.12270","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2019.12270","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2752104/liao_2019_oi_190468.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5762417","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6777392","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6777392","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6777392","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Netw Open","raw_type":"Text"},{"id":"pmid:31560389","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31560389","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA network open","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/jamanetworkopen.2019.12270","doi":"https://doi.org/10.1001/jamanetworkopen.2019.12270","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2019.12270","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2752104/liao_2019_oi_190468.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G1115556371","display_name":null,"funder_award_id":"20170816","funder_id":"https://openalex.org/F4320306176","funder_display_name":"Commonwealth Fund"}],"funders":[{"id":"https://openalex.org/F4320306139","display_name":"Robert Wood Johnson Foundation","ror":"https://ror.org/02ymmdj85"},{"id":"https://openalex.org/F4320306176","display_name":"Commonwealth Fund","ror":"https://ror.org/049kzbj92"},{"id":"https://openalex.org/F4320306300","display_name":"Wallace H. Coulter Foundation","ror":"https://ror.org/04cmszv87"},{"id":"https://openalex.org/F4320306363","display_name":"Greenwall Foundation","ror":"https://ror.org/00nkfq279"},{"id":"https://openalex.org/F4320307740","display_name":"Washington Research Institute","ror":"https://ror.org/05dk0ce17"},{"id":"https://openalex.org/F4320307967","display_name":"CIGNA Corporation","ror":"https://ror.org/03rec7637"},{"id":"https://openalex.org/F4320308449","display_name":"American Society for Surgery of the Hand","ror":"https://ror.org/02azaez02"},{"id":"https://openalex.org/F4320308849","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31"},{"id":"https://openalex.org/F4320309680","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83"},{"id":"https://openalex.org/F4320309913","display_name":"Washington State University","ror":"https://ror.org/05dk0ce17"},{"id":"https://openalex.org/F4320309973","display_name":"Loyola University Chicago","ror":"https://ror.org/04b6x2g63"},{"id":"https://openalex.org/F4320312593","display_name":"American Academy of Ophthalmology","ror":"https://ror.org/02858hr49"},{"id":"https://openalex.org/F4320315643","display_name":"Oscar Health","ror":"https://ror.org/01frftv03"},{"id":"https://openalex.org/F4320329568","display_name":"Grifols","ror":"https://ror.org/02ed64f32"},{"id":"https://openalex.org/F4320332622","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2977057761.pdf","grobid_xml":"https://content.openalex.org/works/W2977057761.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W1984935883","https://openalex.org/W2044391418","https://openalex.org/W2045030413","https://openalex.org/W2059796825","https://openalex.org/W2075233803","https://openalex.org/W2104780889","https://openalex.org/W2119101349","https://openalex.org/W2124758339","https://openalex.org/W2128017766","https://openalex.org/W2210337079","https://openalex.org/W2401884174","https://openalex.org/W2408405923","https://openalex.org/W2521854653","https://openalex.org/W2571088309","https://openalex.org/W2577227262","https://openalex.org/W2588823328","https://openalex.org/W2599076725","https://openalex.org/W2602944670","https://openalex.org/W2607491358","https://openalex.org/W2617315271","https://openalex.org/W2790799701","https://openalex.org/W2804778906","https://openalex.org/W2807370102","https://openalex.org/W2907035289","https://openalex.org/W2943277516","https://openalex.org/W3121366158","https://openalex.org/W3123059484","https://openalex.org/W3123707900","https://openalex.org/W3125601827","https://openalex.org/W3144040573","https://openalex.org/W4244375043","https://openalex.org/W4249808892","https://openalex.org/W4252266173"],"related_works":["https://openalex.org/W3117354922","https://openalex.org/W3182387036","https://openalex.org/W3195057640","https://openalex.org/W2997622908","https://openalex.org/W4401500804","https://openalex.org/W2890789870","https://openalex.org/W2891892103","https://openalex.org/W4381949007","https://openalex.org/W2521854653","https://openalex.org/W3144759595"],"abstract_inverted_index":{"Importance:":[0],"An":[1],"increasing":[2],"number":[3],"of":[4,47,206,272,392],"hospitals":[5,165,407],"have":[6,327],"participated":[7],"in":[8,20,36,60,76,90,108,166,173,195,222,230,269,306,330,363,378],"Medicare's":[9],"bundled":[10,21,155,255,260,322,359,409],"payment":[11,68,156,185,256,261,323,360],"and":[12,57,102,115,135,162,178,192,198,232,286,303,321,356,383,395],"accountable":[13],"care":[14,52,61,289,380,401],"organization":[15],"(ACO)":[16],"programs.":[17],"Although":[18],"participation":[19,35,75,89,107,172,236],"payments":[22,410],"has":[23],"been":[24],"associated":[25,40,367,374],"with":[26,41,106,140,259,353,368,375,408],"savings":[27,371],"for":[28,97],"lower-extremity":[29],"joint":[30],"replacement":[31],"(LEJR)":[32],"surgery,":[33],"simultaneous":[34,74],"ACOs":[37,364],"may":[38,399],"be":[39],"different":[42],"outcomes":[43,104,197],"given":[44],"the":[45,66,85,94,109,167,175,179,223,389],"prevalence":[46],"LEJR":[48,91,151,200,369,393],"among":[49,144],"patients":[50,209],"receiving":[51],"at":[53,153],"ACO":[54,83],"participant":[55,157],"organizations":[56],"potential":[58],"overlap":[59],"redesign":[62,402],"strategies":[63,403],"adopted":[64],"under":[65,93],"2":[67],"models.":[69],"Objective:":[70],"To":[71],"examine":[72],"whether":[73],"a":[77,141],"Medicare":[78,132,148],"Shared":[79],"Savings":[80],"Program":[81],"(MSSP)":[82],"affects":[84],"association":[86],"between":[87],"hospitals'":[88],"episodes":[92],"Bundled":[95],"Payments":[96],"Care":[98],"Improvement":[99],"(BPCI)":[100],"initiative":[101,111,177],"patient":[103,231],"compared":[105,352],"BPCI":[110,176,182],"alone.":[112],"Design,":[113],"Setting,":[114],"Participants:":[116],"This":[117],"cohort":[118],"study,":[119],"conducted":[120],"from":[121,406],"January":[122],"1":[123],"to":[124,130,281,298,340],"May":[125],"31,":[126],"2019,":[127],"used":[128],"2011":[129],"2016":[131],"claims":[133],"data":[134],"incorporated":[136],"an":[137],"instrumental":[138],"variable":[139],"difference-in-differences":[142,275,292,311,334],"method":[143],"483":[145,207],"008":[146,208],"fee-for-service":[147],"beneficiaries":[149],"undergoing":[150],"surgery":[152],"212":[154],"hospitals,":[158,161],"105":[159],"coparticipant":[160],"1413":[163],"nonparticipant":[164],"United":[168],"States.":[169],"Exposures:":[170],"Hospital":[171],"both":[174,346],"MSSP":[180],"(coparticipants),":[181],"only":[183],"(bundled":[184],"participants),":[186],"or":[187],"neither":[188],"(nonparticipants).":[189],"Main":[190],"Outcomes":[191],"Measures:":[193],"Changes":[194],"clinical":[196],"mean":[199],"episode":[201,331,370],"spending.":[202],"Results:":[203],"A":[204],"total":[205],"(mean":[210],"[SD]":[211],"age,":[212],"73.0":[213],"[8.4]":[214],"years;":[215],"308":[216],"173":[217],"[63.8%]":[218],"female)":[219],"were":[220,228],"included":[221],"study.":[224],"No":[225],"differential":[226,328,376],"changes":[227,329,377],"found":[229],"hospital":[233,270],"characteristics":[234],"across":[235],"groups.":[237],"In":[238],"adjusted":[239],"analysis,":[240],"coparticipants":[241,263,398],"had":[242,265,348],"1.5%":[243],"(95%":[244],"CI,":[245,279,296,315,338],"0.7%-2.2%;":[246],"P":[247,283,300,317,342],"<":[248,284,301,318],".001)":[249,285,302],"more":[250,349],"unplanned":[251,384],"readmissions":[252],"than":[253],"did":[254,325],"participants.":[257],"Compared":[258],"participants,":[262,361],"also":[264],"differentially":[266],"greater":[267,304],"decreases":[268],"length":[271],"stay":[273],"(adjusted":[274,291,310,333],"value,":[276,293,312,335],"-5.3%;":[277],"95%":[278,295,314,337],"-7.1%":[280],"-3.5%;":[282],"home":[287],"health":[288],"use":[290,381],"-3.4%;":[294],"-4.5%":[297],"-2.3%;":[299],"increases":[305],"postdischarge":[307],"outpatient":[308],"follow-up":[309],"2.1%;":[313],"0.9%-3.3%;":[316],".001).":[319],"Coparticipants":[320],"participants":[324],"not":[326,366],"spending":[332,351],"0.4%;":[336],"-0.7%":[339],"1.6%;":[341],"=":[343],".46),":[344],"although":[345],"groups":[347],"decreased":[350],"nonparticipants.":[354],"Conclusions":[355],"Relevance:":[357],"Among":[358],"coparticipation":[362],"was":[365,373],"but":[372],"postacute":[379],"patterns":[382],"readmissions.":[385],"These":[386],"findings":[387],"support":[388],"longer-term":[390],"benefits":[391],"bundles":[394],"suggest":[396],"that":[397,404],"adopt":[400],"differ":[405],"only.":[411]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-10-03T00:00:00"}