How Medicare's bundled payment program affects sepsis care for people with Alzheimer's and related dementias
The Impact of the Bundled Payment for Care Improvement Advanced on Outcomes for Patients with Sepsis
['FUNDING_R01'] · BROWN UNIVERSITY · NIH-11262209
Looks at whether Medicare's bundled payment program changes sepsis care and recovery for older adults, including people with Alzheimer's disease and related dementias.
Quick facts
| Phase | ['FUNDING_R01'] |
|---|---|
| Study type | Nih_funding |
| Sex | All |
| Sponsor | BROWN UNIVERSITY (nih funded) |
| Locations | 1 site (PROVIDENCE, UNITED STATES) |
| Trial ID | NIH-11262209 on ClinicalTrials.gov |
What this research studies
You would learn how hospitals that joined Medicare’s Bundled Payment for Care Improvement Advanced (BPCI-A) program handled sepsis differently than hospitals that did not. The researchers use Medicare claims and hospital data to compare 90-day spending, where patients go after discharge, and rates of complications or readmissions. They focus on older patients and specifically those with Alzheimer's disease and related dementias to see if outcomes are better or worse under bundled payments. The team compares trends over time to estimate how the payment program affected care and recovery.
Who could benefit from this research
Good fit: The most relevant people are Medicare beneficiaries hospitalized with sepsis, especially older adults who also have Alzheimer's disease or related dementias.
Not a fit: Younger people, those not covered by Medicare, or people without sepsis would not be affected by this specific analysis.
Why it matters
Potential benefit: If successful, this work could encourage hospital and payment changes that reduce complications, improve recovery after sepsis, and lower costs for older adults with dementia.
How similar studies have performed: Previous studies of bundled payment programs have sometimes lowered spending but shown mixed effects on patient outcomes, and applying this approach specifically to sepsis in people with dementia is relatively new.
Where this research is happening
PROVIDENCE, UNITED STATES
- BROWN UNIVERSITY — PROVIDENCE, UNITED STATES (ACTIVE)
Researchers
- Principal investigator: RYAN, ANDREW M — BROWN UNIVERSITY
- Study coordinator: RYAN, ANDREW M
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions: Alzheimer's Disease and its related dementias, Alzheimer's disease and related dementia, Alzheimer's disease and related disorders