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Incorrect Spending Figure in an Editorial

Incorrect Spending Figure in an Editorial Letters positivity between participants with SCI and those who were Inclusion of Physicians in Bundled Hospital cognitively normal. Payments Second, they indicate that the absence of correction for To the Editor In a Viewpoint, Drs Mehrotra and Hussey de- education in the analysis presented in Figure 2 could have bi- scribed several previous proposals and pilot studies of finan- ased our findings because of differences in educational level cial integration of physician and hospital services, and they between participants with normal cognition and SCI. We have clearly articulated the historical barriers to its wide-scale adop- repeated the analysis for the data shown in Figure 2 with cor- tion by the Medicare program and private third-party payers rection for education and found no statistically significant dif- (health plans and health insurance companies). ference in amyloid positivity between participants with nor- There are 2 examples of longstanding bundling of physi- mal cognition and patients with SCI (mean difference, −4% cians and hospital payments that not only provide precedent [95% CI, −13% to 5%]; P = .35). beyond the basic proof-of-concept stage but offer momen- Third, it is suggested that our definition of SCI was lim- tum to the proposals. ited and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Incorrect Spending Figure in an Editorial

JAMA , Volume 314 (11) – Sep 15, 2015

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2015.10310
pmid
26372594
Publisher site
See Article on Publisher Site

Abstract

Letters positivity between participants with SCI and those who were Inclusion of Physicians in Bundled Hospital cognitively normal. Payments Second, they indicate that the absence of correction for To the Editor In a Viewpoint, Drs Mehrotra and Hussey de- education in the analysis presented in Figure 2 could have bi- scribed several previous proposals and pilot studies of finan- ased our findings because of differences in educational level cial integration of physician and hospital services, and they between participants with normal cognition and SCI. We have clearly articulated the historical barriers to its wide-scale adop- repeated the analysis for the data shown in Figure 2 with cor- tion by the Medicare program and private third-party payers rection for education and found no statistically significant dif- (health plans and health insurance companies). ference in amyloid positivity between participants with nor- There are 2 examples of longstanding bundling of physi- mal cognition and patients with SCI (mean difference, −4% cians and hospital payments that not only provide precedent [95% CI, −13% to 5%]; P = .35). beyond the basic proof-of-concept stage but offer momen- Third, it is suggested that our definition of SCI was lim- tum to the proposals. ited and

Journal

JAMAAmerican Medical Association

Published: Sep 15, 2015

References