Relevant Publications from the Field

Hospital Participation in the Acute Hospital Care at Home Waiver Program

This study found that participation in the AHCAH program was concentrated among large, urban, not-for-profit, and academic hospitals. The characteristics of postextension hospitals were similar to preextension hospitals, although postextension hospitals were somewhat smaller and demonstrated regional differences. Overall, adoption of hospital-at-home programs has been largely limited to certain types of US hospitals, likely reflecting the necessary resources, environment, and motivations to implement this new service. Study limitations include that hospitals were designated as participants only on the basis of waiver status and not active hospital-at-home patient enrollment. As further extension of the AHCAH waiver program is debated in Congress, CMS may consider additional strategies to engage a broader set of facilities to develop hospital-at-home programs, particularly nonteaching and rural hospitals.

Buprenorphine-Precipitated Withdrawal Among Hospitalized Patients Using Fentanyl

In this cohort study of 226 adult emergency department or hospitalized patients with opioid withdrawal severity documented within 4 hours of buprenorphine initiation, 12% developed precipitated withdrawal. The findings suggest that a minority of persons using fentanyl are at risk of buprenorphine-precipitated withdrawal when starting OUD treatment and that additional research is needed to identify risk factors for precipitated withdrawal.

Post-Acute Care After Joint Replacement in Medicare’s Bundled Payments for Care Improvement Initiative

Mandatory Medicare Bundled Payment Program for Lower Extremity Joint Replacement and Discharge to Institutional Post-Acute Care

Evaluation of Medicare’s Bundled Payments Initiative for Medical Conditions

Participation and Dropout in the Bundled Payments for Care Improvement Initiative (Research Letter)

Association Between Hospitals’ Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program.

Association Between Hospital Participation in a Medicare Bundled Payment Initiative and Payments and Quality Outcomes for Lower Extremity Joint Replacement Episodes

Medicare’s Bundled Payment Initiative: Most Hospitals Are Focused on a Few High-Volume Conditions