Date of Award
2015
Embargo Period
8-1-2024
Document Type
Dissertation
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Abby Kazley
Second Advisor
Karen A. Wager
Third Advisor
Christopher Stanley
Abstract
This study examined the relationships between total costs of care and total readmission rates for Medicare patients undergoing major joint replacement of the lower extremity (knee/hip arthroplasty) at one of four Catholic Health Initiatives (CHI) facilities participating in both Phase 1 and Phase 2 of the BPCI program by using complete Medicare claims data for beneficiaries. Both univariate and multivariate models were utilized to examine the impact of the BPCI initiative on costs and readmissions. Findings from this study suggest a relationship between Phase 2 BPCI participation and decreased costs. Hospitals participating in the Phase 2 BPCI program had total episode costs that were $3,333 per episode lower than hospitals participating in the Phase 1 BPCI program. There was no statistically significant evidence of decreased readmissions for Phase 2 BPCI participants.
Recommended Citation
Cull, Tamara, "The New Era of Health Care: Catholic Health Initiatives Journey with Bundled Payment for Care Improvement in Total Joint Replacements" (2015). MUSC Theses and Dissertations. 448.
https://medica-musc.researchcommons.org/theses/448
Rights
All rights reserved. Copyright is held by the author.