Can vertically integrated health systems provide greater value: The case of hospitals under the comprehensive care for joint replacement model?

摘要

We aim to assess whether system providers perform better than nonsystem providers under an alternative payment model that incentivizes high‐quality, cost‐efficient care. We posit that the payment environment and the incentives it provides can affect the relative performance of vertically integrated health systems. To examine this potential influence, we compare system and nonsystem hospitals participating in Medicare's Comprehensive Care for Joint Replacement (CJR) model.