The study, Fierce reported, “found that hospitals in the voluntary Bundled Payments for Care Improvement model were typically larger and had a higher mean patient volume compared to hospitals in the mandatory Comprehensive Care for Joint Replacement model. Smaller hospitals are more likely to pass on a voluntary model due difficultly handling the additional administrative burden, which larger hospitals can more easily absorb.”

“While there were large differences in the characteristics of program participants, there were smaller discrepancies in quality or spending. Voluntary programs, for instance, spend slightly more on post-acute care. Mandatory programs produced more generalized evidence compared to voluntary programs, the study found.”

“The findings might calm the debate about which approach is more effective in transitioning the industry to value-based care.”

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