Bundled payment initiative doesn't cut readmission in COPD

May 10, 2017

(HealthDay)—A Medicare Bundled Payments for Care Improvement (BPCI) initiative does not reduce readmission rates or costs among patients with acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published in the May 1 issue of the Annals of the American Thoracic Society.

Surya P. Bhatt, M.D., from the University of Alabama at Birmingham, and colleagues conducted a pre-post-intervention study comparing all-cause readmissions and costs after index hospitalization for Medicare-only patients with of COPD. A total of 78 Medicare patients were prospectively enrolled in the BPCI intervention and compared with a historical control group of 109 patients.

The researchers found that the likelihood of receiving regular follow-up, phone calls, pneumococcal and influenza vaccines, , durable medical equipment, and pulmonary rehabilitation was higher for patients in BPCI, and they were more likely to attend pulmonary clinic. No difference was seen for the BPCI intervention versus non-BPCI in all-cause readmission rates at 30 days (15.4 versus 17.4 percent; P = 0.711) and 90 days (26.9 versus 33.9 percent; P = 0.306). Before accounting for significant investment from the health system, 90-day costs were 4.3 percent lower compared with BPCI target prices.

"Although additional studies enrolling larger numbers of patients at multiple centers may demonstrate the efficacy of our BPCI initiative for COPD readmissions, this is unlikely to be cost-effective at any single center," the authors write.

Two authors disclosed financial ties to the pharmaceutical industry.

Explore further: Hospital participation in medicare bundled payment initiative results in reduction in payments for joint replacement

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Hospital participation in medicare bundled payment initiative results in reduction in payments for joint replacement

September 19, 2016
In a study published online by JAMA, Laura A. Dummit, M.S.P.H., of The Lewin Group, Falls Church, Va., and colleagues evaluated whether Bundled Payments for Care Improvement (BPCI) was associated with a greater reduction ...

Hospital quality linked to readmission rates for COPD and other diseases

March 21, 2017
Nearly one in five patients admitted to hospitals in the United States are readmitted within 30 days, at a cost of $17 billion annually. To reduce readmission rates, the federal Centers for Medicare & Medicaid Services (CMS) ...

Depression ups readmission odds for COPD exacerbation

December 3, 2015
(HealthDay)—Depression is independently associated with increased risk of readmission for acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published online Nov. 24 in the Annals of ...

ICU care for COPD, heart failure and heart attack may not be better

February 17, 2017
Does a stay in the intensive care unit give patients a better chance of surviving a chronic obstructive pulmonary disease (COPD) or heart failure flare-up or even a heart attack, compared with care in another type of hospital ...

Bundled payments improve care for Medicare patients undergoing joint replacement

March 2, 2016
Implementing bundled payments for total joint replacements resulted in year-over-year improvements in quality of care and patient outcomes while reducing overall costs, according to a new three-year study from NYU Langone ...

Teaching service cuts resource use in COPD exacerbations

January 9, 2017
(HealthDay)—An internal medicine teaching service can reduce resource use in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in a community teaching hospital, according to a study published ...

Recommended for you

Exposure to low levels of BPA during pregnancy can lead to altered brain development

March 17, 2018
New research in mice provides an explanation for how exposure to the widely used chemical bisphenol A (BPA) during pregnancy, even at levels lower than the regulated "safe" human exposure level, can lead to altered brain ...

Smoking linked with higher risk of type 2 diabetes

March 15, 2018
The prevalence of diabetes has increased almost 10-fold in China since the early 1980s, with one in 10 adults in China now affected by diabetes. Although adiposity is the major modifiable risk factor for diabetes, other research ...

Key drivers of high US healthcare spending identified

March 13, 2018
The major drivers of high healthcare costs in the U.S. appear to be higher prices for nearly everything—from physician and hospital services to diagnostic tests to pharmaceuticals—and administrative complexity.

Pedometer health boost lasts four years

March 13, 2018
Wearing a pedometer to count your daily steps can keep you healthier and more active for as long as four years after using it, a new study shows.

Toilet-to-tap: Gross to think about, but how does it taste?

March 13, 2018
Here's a blind test taste like Pepsi never imagined. Researchers at the University of California, Riverside, recently published a study of recycled wastewater that did not focus on its safety-which has long been established-but ...

The Great Recession took a toll on public health, study finds

March 12, 2018
The Great Recession, spanning 2008 to 2010, was associated with heightened cardiovascular risk factors, including increased blood pressure and glucose levels, according to a new UCLA-led study. The connections were especially ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.