In April 2016, Medicare rolled out the Comprehensive Care for Joint Replacement (CJR) model, a new value-based payment reform for hip and knee replacements in 67 randomly selected metropolitan areas within the United States. A major question for policymakers is how value-based payment reforms such as CJR affect existing racial and ethnic disparities in patient care and outcomes. Do they improve outcomes for Black and Hispanic patients, who already face disparities? Or do they widen the gap?
This week's JAMA Network Open paper led by CHSE investigator Hyunjee Kim and analysts Thomas Meath and Felix Tran explores changes in utilization and outcomes that resulted from the CJR model, including impacts on racial and ethnic disparities.
View paper on JAMA Network Open
About the Center for Health Systems Effectiveness
The Center for Health Systems Effectiveness researches health care service delivery with the aim of improving the value and sustainability of the U.S. healthcare system. Our mission is to provide the analyses, evidence and economic expertise to build a better and more sustainable health care system.
To learn more about the CHSE, visit us on the web or email us at CHSE-info@ohsu.edu.