{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T01:02:37Z","timestamp":1769389357686,"version":"3.49.0"},"reference-count":33,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.jse.2019.12.029","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:06:43Z","timestamp":1584922003000},"page":"e297-e305","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Current diagnosis-related group\u2013based bundling for upper-extremity arthroplasty: a case of insufficient risk adjustment and misaligned incentives"],"prefix":"10.1016","volume":"29","author":[{"given":"Azeem Tariq","family":"Malik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathangi","family":"Sridharan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3794-8861","authenticated-orcid":false,"given":"Julie Y.","family":"Bishop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8509-4311","authenticated-orcid":false,"given":"Andrew S.","family":"Neviaser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safdar N.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory L.","family":"Cvetanovich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2019.12.029_bib1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.2105\/AJPH.2011.300617","article-title":"Aging in the United States: opportunities and challenges for public health","volume":"102","author":"Anderson","year":"2012","journal-title":"Am J Public Health"},{"key":"10.1016\/j.jse.2019.12.029_bib2","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1007\/s11999-016-4991-0","article-title":"Economic decision model suggests total shoulder arthroplasty is superior to hemiarthroplasty in young patients with end-stage shoulder arthritis","volume":"474","author":"Bhat","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2019.12.029_bib3","doi-asserted-by":"crossref","first-page":"2722","DOI":"10.1016\/j.arth.2018.04.006","article-title":"Are Medicare's \u201ccomprehensive care for joint replacement\u201d bundled payments stratifying risk adequately?","volume":"33","author":"Cairns","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jse.2019.12.029_bib4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.2106\/JBJS.17.00327","article-title":"Refining risk adjustment for the proposed CMS surgical hip and femur fracture treatment bundled payment program","volume":"100","author":"Cairns","year":"2018","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2019.12.029_bib5","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1016\/j.jse.2018.11.065","article-title":"An analysis of costs associated with shoulder arthroplasty","volume":"28","author":"Chalmers","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1302\/0301-620X.101B6.BJJ-2018-1427.R1","article-title":"Not all hip arthroplasties are created equal: increased complications and re-admissions after total hip arthroplasty for femoral neck fractures compared with osteoarthritis","volume":"101-B","author":"Charette","year":"2019","journal-title":"Bone Joint J"},{"key":"10.1016\/j.jse.2019.12.029_bib7","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1001\/jama.2013.281675","article-title":"Hospitals, market share, and consolidation","volume":"310","author":"Cutler","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.jse.2019.12.029_bib8","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/0168-8510(88)90029-2","article-title":"The impact of DRGs on the cost and quality of health care in the United States","volume":"9","author":"Davis","year":"1988","journal-title":"Health Policy"},{"key":"10.1016\/j.jse.2019.12.029_bib9","first-page":"45","article-title":"Refinement of the Medicare diagnosis-related groups to incorporate a measure of severity","volume":"16","author":"Edwards","year":"1994","journal-title":"Health Care Financ Rev"},{"key":"10.1016\/j.jse.2019.12.029_bib10","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/j.jse.2018.10.006","article-title":"Quantification of patient-level costs in outpatient total shoulder arthroplasty","volume":"28","author":"Gregory","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib11","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.jse.2015.07.015","article-title":"Proximal humerus fragility fractures: recent trends in nonoperative and operative treatment in the Medicare population","volume":"25","author":"Han","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib12","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/NNA.0000000000000492","article-title":"Bundled payments for care improvement: preparing for the medical diagnosis-related groups","volume":"47","author":"Hardin","year":"2017","journal-title":"J Nurs Adm"},{"key":"10.1016\/j.jse.2019.12.029_bib13","doi-asserted-by":"crossref","first-page":"328","DOI":"10.5435\/00124635-201106000-00003","article-title":"Complications of total elbow arthroplasty","volume":"19","author":"Kim","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib14","doi-asserted-by":"crossref","first-page":"927","DOI":"10.5435\/JAAOS-D-18-00268","article-title":"Shoulder arthroplasty for a fracture is not the same as shoulder arthroplasty for osteoarthritis: implications for a bundled payment model","volume":"27","author":"Malik","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib15","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1016\/j.spinee.2019.06.009","article-title":"Refining risk adjustment for bundled payment models in cervical fusions\u2014an analysis of Medicare beneficiaries","volume":"19","author":"Malik","year":"2019","journal-title":"Spine J"},{"key":"10.1016\/j.jse.2019.12.029_bib16","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.spinee.2019.04.024","article-title":"Are current DRG-based bundled payment models for lumbar fusions risk-adjusting adequately? An analysis of Medicare beneficiaries","volume":"20","author":"Malik","year":"2020","journal-title":"Spine J"},{"key":"10.1016\/j.jse.2019.12.029_bib17","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.jse.2009.11.057","article-title":"Cost effectiveness analysis of hemiarthroplasty and total shoulder arthroplasty","volume":"19","author":"Mather","year":"2010","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib18","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1001\/jamainternmed.2016.8263","article-title":"Cost of joint replacement using bundled payment models","volume":"177","author":"Navathe","year":"2017","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jse.2019.12.029_bib19","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1001\/jama.2018.1150","article-title":"Health care spending in the United States and other high-income countries","volume":"319","author":"Papanicolas","year":"2018","journal-title":"JAMA"},{"key":"10.1016\/j.jse.2019.12.029_bib20","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.arth.2017.01.049","article-title":"The Lawrence D. Dorr Surgical Techniques & Technologies Award: differences in postoperative outcomes between total hip arthroplasty for fracture vs osteoarthritis","volume":"32","author":"Qin","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jse.2019.12.029_bib21","doi-asserted-by":"crossref","first-page":"1854","DOI":"10.1016\/j.jse.2016.05.030","article-title":"Primary total elbow arthroplasty for distal humeral fractures in elderly patients: a nationwide analysis","volume":"25","author":"Rajaee","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib22","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/j.arth.2019.03.041","article-title":"Bundled payments are effective in reducing costs\u00a0following bilateral total joint arthroplasty","volume":"34","author":"Rondon","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jse.2019.12.029_bib23","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/003335491112600118","article-title":"The Patient Protection and Affordable Care Act: implications for public health policy and practice","volume":"126","author":"Rosenbaum","year":"2011","journal-title":"Public Health Rep"},{"key":"10.1016\/j.jse.2019.12.029_bib24","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s40520-016-0695-2","article-title":"National trends in proximal humerus fracture treatment patterns","volume":"29","author":"Sabesan","year":"2017","journal-title":"Aging Clin Exp Res"},{"key":"10.1016\/j.jse.2019.12.029_bib25","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11999-016-4868-2","article-title":"The Frank Stinchfield Award: total hip arthroplasty for femoral neck fracture is not a typical DRG 470: a propensity-matched cohort study","volume":"475","author":"Schairer","year":"2017","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2019.12.029_bib26","first-page":"340","article-title":"Advanced alternative payment models part II: understanding the next generation accountable care organization model","volume":"32","author":"Self","year":"2017","journal-title":"J Med Pract Manage"},{"key":"10.1016\/j.jse.2019.12.029_bib27","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1016\/j.jse.2014.01.052","article-title":"Perioperative complications after hemiarthroplasty and total shoulder arthroplasty are equivalent","volume":"23","author":"Shields","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib28","first-page":"166","article-title":"Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis","volume":"43","author":"Trofa","year":"2014","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"10.1016\/j.jse.2019.12.029_bib29","first-page":"48","article-title":"Healthcare trends for 2018","volume":"11","author":"Vogenberg","year":"2018","journal-title":"Am Health Drug Benefits"},{"key":"10.1016\/j.jse.2019.12.029_bib30","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jse.2010.08.026","article-title":"Complications of total elbow replacement: a systematic review","volume":"20","author":"Voloshin","year":"2011","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2019.12.029_bib31","first-page":"1","article-title":"DRG-based bundled reimbursement for lumbar fusion: implications for patient selection","author":"Yee","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.jse.2019.12.029_bib32","first-page":"6113","article-title":"Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates","volume":"8","author":"Zhou","year":"2016","journal-title":"Orthop Rev (Pavia)"},{"key":"10.1016\/j.jse.2019.12.029_bib33","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5435\/JAAOS-D-16-00720","article-title":"Trends and variability in the use of total shoulder arthroplasty for Medicare patients","volume":"26","author":"Zmistowski","year":"2018","journal-title":"J Am Acad Orthop Surg"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274620300306?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274620300306?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:47:20Z","timestamp":1761007640000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274620300306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":33,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S1058274620300306"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2019.12.029","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Current diagnosis-related group\u2013based bundling for upper-extremity arthroplasty: a case of insufficient risk adjustment and misaligned incentives","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2019.12.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.","name":"copyright","label":"Copyright"}]}}