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Viewpoint | Health Care Reform

Controlling Costs by Expanding the Medicare Acute Care Episode Demonstration

Maura Calsyn, JD1; Ezekiel J. Emanuel, MD, PhD1,2
[+] Author Affiliations
1Center for American Progress, Washington, DC
2Office of the Vice Provost, Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia
JAMA Intern Med. 2014;174(9):1438-1439. doi:10.1001/jamainternmed.2014.2981.
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Medicare’s Acute Care Episode (ACE) demonstration bundled hospital and physician payments for 37 inpatient cardiac and orthopedic procedures. This payment structure improved coordination between physicians and hospitals and motivated hospitals to negotiate lower prices with device manufacturers, in most instances saving money without evidence of stinting on care. The program should be expanded.

Article Information

Accepted for Publication: May 14, 2014.

Corresponding Author: Maura Calsyn, JD, Center for American Progress, 1333 H Street NW, Washington, DC 20005 (mcalsyn@americanprogress.org).

Published Online: July 7, 2014. doi:10.1001/jamainternmed.2014.2981.

Conflict of Interest Disclosures: Dr Emanuel reported receiving payment for speaking engagements unrelated to this work. No other disclosures were reported.

Funding/Support: This work was made possible in part by a grant from the Peter G. Peterson Foundation to the Center for American Progress.

Role of the Sponsor: The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and the decision to submit the manuscript for publication.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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