Reductions in medicare payments and patient outcomes: An analysis of 5 leading medicare conditions

Medical Care

Volumn 51, Issue 11, 2013, Pages 970-977

  Shen, Yu Chu ^a,b   Wu, Vivian Y ^c  

^a NAVAL POSTGRADUATE SCHOOL   (United States)

^b NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

^c UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

Instrumental variables; Medicare; Patient outcomes; Payment reductions

Indexed keywords

ACUTE HEART INFARCTION; ARTICLE; CEREBROVASCULAR ACCIDENT; CONGESTIVE HEART FAILURE; HEALTH CARE COST; HIP FRACTURE; HUMAN; INSTRUMENTAL VARIABLE ANALYSIS; MEDICARE; MORTALITY; OUTCOME ASSESSMENT; PNEUMONIA; PRIORITY JOURNAL;

AGE FACTORS; CONTINENTAL POPULATION GROUPS; COST CONTROL; HEART FAILURE; HIP FRACTURES; HOSPITAL ADMINISTRATION; HOSPITAL MORTALITY; HUMANS; INSURANCE CLAIM REVIEW; MEDICARE; MYOCARDIAL INFARCTION; PNEUMONIA; QUALITY INDICATORS, HEALTH CARE; RESIDENCE CHARACTERISTICS; RISK ADJUSTMENT; SEX FACTORS; STROKE; TREATMENT OUTCOME; UNITED STATES;

EID: 84886290815     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3182a98337     Document Type: Article

References (30)

1. Elmendorf D. Memorandum to the Speaker of the House From the Director of Congressional Budget Office. 2012. Available at: http://www.cbo.gov/sites/ default/files/cbofiles/attachments/43471-hr6079.pdf. Accessed September 2, 2013.
2. Fisher ES, Wennberg DE, Stukel T, et al. The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-287. (Pubitemid 36205924)
3. Fisher ES, Wennberg DE, Stukel T, et al. The implications of regional variations in Medicare spending. Part 2: Health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-298. (Pubitemid 36205925)
4. Ong MK, Mangione CM, Romano PS, et al. Looking forward, looking back: assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Circ Cardiovasc Qual Outcomes. 2009;2:548-557.
5. Romley JA, Jena AB, Goldman DP. Hospital spending and inpatient mortality: evidence from California: an observational study. Ann Intern Med. 2011;154:160-160.
6. Doyle JJ. Returns to local-area health care spending: evidence from health shocks to patients far from home. Am Econ J Appl Econ. 2011;3:221-243.
7. Seshamani M, Schwartz JS, Volpp KG. The effect of cuts in Medicare reimbursement on hospital mortality. Health Serv Res. 2006;41(3p1): 683-700. (Pubitemid 43725344)
8. Committee on Energy and Commerce Subcommittee on Health. The Estimated Effect of the Affordable Care Act on Medicare and Medicaid Outlays and Total National Health Care Expenditures. Washington, DC: US House of Representatives; 2011.
9. Bazzoli GJ, Lindrooth RC, Hasnain-Wynia R, et al. The Balanced Budget Act of 1997 and U.S. hospital operations. Inquiry. 2004;41:401-417. (Pubitemid 40393056)
10. Lindrooth RC, Clement J, Bazzoli GJ. The effect of reimbursement on the intensity of hospital services. South Econ J. 2007;73:575-587.
11. Bazzoli G, Clement J, Lindrooth R, et al. Hospital financial condition and operational decisions related to the quality of hospital care. Med Care Res Rev. 2007;64:148-168. (Pubitemid 46570717)
12. Bazzoli G, Chen H, Zhao M, et al. Hospital financial condition and quality of patient care. Health Econ. 2008;17:977-995.
13. Zhao M, Bazzoli G, Clement J, et al. Hospital staffing decisions: does financial performance matter? Inquiry. 2008;45:293-307.
14. Volpp KG, Peterson E, Zhu JS, et al. The effect of the Balanced Budget Act of 1997 on process of care for AMI patients. Circulation. 2004;109:E262-E262.
15. Volpp KG, Konetzka RT, Zhu J, et al. Effect of cuts in Medicare reimbursement on process and outcome of care for acute myocardial infarction patients. Circulation. 2005;112:2268-2275. (Pubitemid 41464569)
16. Seshamani M, Zhu J, Volpp KG. Did postoperative mortality increase after the implementation of the Medicare Balanced Budget Act? Med Care. 2006;44:527-533. (Pubitemid 44284292)
17. Staiger D, Gaumer G. Quality of care in hospitals: post-admission mortality under Medicare's Prospective Payment System. Working Paper. 1992.
18. Agency for Healthcare Research and Quality. Guide to Inpatient Quality Indicators: Quality of Care in Hospitals-Volume, Mortality, and Utilization. Rockville, MD: Agency for Healthcare Research and Quality; 2007.
19. Agency for Healthcare Research and Quality. Inpatient Quality Indicators Technical Specifications-Version 4.4. 2012. Available at: http://www. qualityindicators.ahrq.gov/Modules/IQI-TechSpec.aspx. Accessed September 2, 2013.
20. Skinner J, Staiger D. Technology Diffusion and Productivity Growth in Health Care. NBER Working Paper Series no. w14865. Cambridge, Mass: National Bureau of Economic Research; 2009. Available at: http://www.nber.org/papers/ w14865.
21. Shen Y-C. The effect of financial pressure on the quality of care in hospitals. J Health Econ. 2003;22:243-269. (Pubitemid 36279395)
22. McClellan M, Staiger D. Comparing the quality of health care providers. Nber Fr Hlth Pol Res. 2000;3:113-136.
23. Elixhauser A, Steiner C, Harris DR, et al. Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27. (Pubitemid 128456396)
24. Wu V. Hospital cost shifting revisited: new evidence from the balanced budget act of 1997. Int J Health Care Finance Econ. 2010;10:61-83.
25. Dafny L. How do hospitals respond to price changes? Am Econ Rev. 2005;95:1525-1547. (Pubitemid 43550742)
26. Wu VY, Shen Y-C. The Long-term Impact of Medicare Payment Reductions on Patient Outcomes. NBER Working Paper Series no. w16859. Cambridge, Mass: National Bureau of Economic Research; 2011. Available at: http://www.nber.org/ papers/w16859.
27. Cutler DM. Cost shifting or cost cutting?: the incidence of reductions in Medicare payments. Tax Pol Econ. 1998;12:1-27.
28. Stata Corp. Stata Statistical Software: Release 12. College Station, TX: Stata Corp LP; 2011.
29. National Center for Health Statistics. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD: National Center for Health Statistics; 2011.
30. Buntin MB, Colla CH, Deb P, et al. Medicare spending and outcomes after postacute care for stroke and hip fracture. Med Care. 2010;48:776-784.