The impact of a statewide payment reform on transcatheter aortic valve replacement (TAVR) utilization and readmissions.
Pooja S YesantharaoEric W EtchillAlice L ZhouChin Siang OngThomas S MetkusJoseph K CannerDiane E AlejoOluseyi AliuMatthew J CzarnyRani K HasanJon R ResarStefano SchenaPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2023)
Maryland's All Payer Model resulted in an immediate decline in TAVR utilization, likely a result of hospitals adjusting to global budgeting. However, beyond this transition period, this cost-constrictive reform measure did not limit Maryland TAVR utilization. In addition, the All Payer Model did not reduce post-TAVR 30-day readmissions. These findings may help inform expansion of globally budgeted healthcare payment structures.