Cost savings and physician responses to global bundled payments for Medicare heart bypass surgery.
Cromwell, Jerry L
Date of Pub
Dayhoff, Debra A; Thoumaian, Armen H
In 1991 the Health Care Financing Administration (HCFA) began the Medicare Participating Heart Bypass Center Demonstration,
in which hospitals and physicians are paid a single negotiated global price for all inpatient care for heart bypass patients.
During the first 27 months of the demonstration, the Government and beneficiaries together saved more than $17 million on
bypass surgery in four participating institutions. Average total cost per case fell in three of the four hospitals during
the 1990-93 period as the alignment of physician and hospital incentives resulted in physicians changing their practice patterns
to shorten stays and reduce costs.
Aged : Coronary Artery Bypass/economics : Cost Savings/statistics & numerical data : Female : Health Services Research : Hospital
Costs/trends : Human : Length of Stay : Male : Medicare/economics/statistics & numerical data : Physician's Practice Patterns/economics
: Pilot Projects : Rate Setting and Review/methods : Support, U.S. Gov't, P.H.S. : United States