Switching to a global budget revenue model can enhance surgical outcomes for cancer procedures.

• Textbook outcomes improved from 72.8% to 76.1% in GBR hospitals versus a slight change from 70.2% to 70.5% in controls, showing a 2.9 percentage point gain (p=0.02).
• Complication rates fell by 1.5 percentage points, and prolonged stays decreased by 1.8 percentage points at GBR hospitals.

This approach also reduced Medicare spending by an average of $771 per patient.

• GBR participation could inform patient selection and hospital strategy to optimize surgical care and costs.