메뉴 건너뛰기




Volumn 178, Issue 11, 2018, Pages 1498-1507

Assessment of the Effect of Adjustment for Patient Characteristics on Hospital Readmission Rates: Implications for Pay for Performance

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; FEMALE; HIGH RISK PATIENT; HOSPITAL READMISSION; HUMAN; HUMAN TISSUE; MALE; MEDICARE; MULTICENTER STUDY; PUNISHMENT; RISK ASSESSMENT; AGED; ECONOMICS; HEALTH CARE COST; REIMBURSEMENT; UNITED STATES; VERY ELDERLY;

EID: 85053562713     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2018.4481     Document Type: Article
Times cited : (76)

References (48)
  • 1
    • 84957793925 scopus 로고    scopus 로고
    • Kaiser Family Foundation.. Published March, 10, Accessed November 11, 2017
    • Aiming for fewer hospital U-turns: the Medicare Hospital Readmission Reduction Program. Kaiser Family Foundation. https://www.kff.org/medicare/issue-brief/aiming-for-fewer-hospital-u-turns-the-medicare-hospital-readmission-reduction-program/. Published March, 10, 2017. Accessed November 11, 2017.
    • (2017) Aiming for Fewer Hospital U-turns: The Medicare Hospital Readmission Reduction Program
  • 2
    • 84974816058 scopus 로고    scopus 로고
    • Early performance of accountable care organizations in Medicare
    • doi: 10.1056/NEJMsa1600142
    • McWilliams JM, Hatfield LA, Chernew ME, Landon BE, Schwartz AL. Early performance of accountable care organizations in Medicare. N Engl J Med. 2016; 374 (24): 2357-2366. doi: 10.1056/NEJMsa1600142
    • (2016) N Engl J Med , vol.374 , Issue.24 , pp. 2357-2366
    • McWilliams, J.M.1    Hatfield, L.A.2    Chernew, M.E.3    Landon, B.E.4    Schwartz, A.L.5
  • 3
    • 85042293587 scopus 로고    scopus 로고
    • The value-based payment modifier: Program outcomes and implications for disparities
    • doi: 10.7326/M17-1740
    • Roberts ET, Zaslavsky AM, McWilliams JM. The value-based payment modifier: program outcomes and implications for disparities. Ann Intern Med. 2018; 168 (4): 255-265. doi: 10.7326/M17-1740
    • (2018) Ann Intern Med , vol.168 , Issue.4 , pp. 255-265
    • Roberts, E.T.1    Zaslavsky, A.M.2    McWilliams, J.M.3
  • 4
    • 84946139292 scopus 로고    scopus 로고
    • Patient characteristics and differences in hospital readmission rates
    • doi: 10.1001/jamainternmed.2015.4660
    • Barnett ML, Hsu J, McWilliams JM. Patient characteristics and differences in hospital readmission rates. JAMA Intern Med. 2015; 175 (11): 1803-1812. doi: 10.1001/jamainternmed.2015.4660
    • (2015) JAMA Intern Med , vol.175 , Issue.11 , pp. 1803-1812
    • Barnett, M.L.1    Hsu, J.2    McWilliams, J.M.3
  • 5
    • 84875544427 scopus 로고    scopus 로고
    • A path forward on Medicare readmissions
    • doi: 10.1056/NEJMp1300122
    • Joynt KE, Jha AK. A path forward on Medicare readmissions. N Engl J Med. 2013; 368 (13): 1175-1177. doi: 10.1056/NEJMp1300122
    • (2013) N Engl J Med , vol.368 , Issue.13 , pp. 1175-1177
    • Joynt, K.E.1    Jha, A.K.2
  • 7
    • 84900988186 scopus 로고    scopus 로고
    • The Medicare Hospital Readmissions Reduction Program: Potential unintended consequences for hospitals serving vulnerable populations
    • doi: 10.1111/1475-6773.12150
    • Gu Q, Koenig L, Faerberg J, Steinberg CR, Vaz C, Wheatley MP. The Medicare Hospital Readmissions Reduction Program: potential unintended consequences for hospitals serving vulnerable populations. Health Serv Res. 2014; 49 (3): 818-837. doi: 10.1111/1475-6773.12150
    • (2014) Health Serv Res , vol.49 , Issue.3 , pp. 818-837
    • Gu, Q.1    Koenig, L.2    Faerberg, J.3    Steinberg, C.R.4    Vaz, C.5    Wheatley, M.P.6
  • 8
    • 84890895177 scopus 로고    scopus 로고
    • Will value-based purchasing increase disparities in care?
    • doi: 10.1056/NEJMp1312654
    • Ryan AM. Will value-based purchasing increase disparities in care? N Engl J Med. 2013; 369 (26): 2472-2474. doi: 10.1056/NEJMp1312654
    • (2013) N Engl J Med , vol.369 , Issue.26 , pp. 2472-2474
    • Ryan, A.M.1
  • 9
    • 85044130387 scopus 로고    scopus 로고
    • Financial incentives and vulnerable populations - Will alternative payment models help or hurt?
    • doi: 29539282
    • Joynt Maddox KE. Financial incentives and vulnerable populations-will alternative payment models help or hurt? N Engl J Med. 2018; 378 (11): 977-979. doi: 10.1056/NEJMp1715455 29539282
    • (2018) N Engl J Med , vol.378 , Issue.11 , pp. 977-979
    • Joynt Maddox, K.E.1
  • 10
    • 84919469547 scopus 로고    scopus 로고
    • The risks of not adjusting performance measures for sociodemographic factors
    • doi: 25048401
    • Lipstein SH, Dunagan WC. The risks of not adjusting performance measures for sociodemographic factors. Ann Intern Med. 2014; 161 (8): 594-596. doi: 10.7326/M14-1601 25048401
    • (2014) Ann Intern Med , vol.161 , Issue.8 , pp. 594-596
    • Lipstein, S.H.1    Dunagan, W.C.2
  • 12
    • 84873468898 scopus 로고    scopus 로고
    • Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: Systematic review
    • doi: 10.1007/s11606-012-2235-x
    • Calvillo-King L, Arnold D, Eubank KJ, Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic review. J Gen Intern Med. 2013; 28 (2): 269-282. doi: 10.1007/s11606-012-2235-x
    • (2013) J Gen Intern Med , vol.28 , Issue.2 , pp. 269-282
    • Calvillo-King, L.1    Arnold, D.2    Eubank, K.J.3
  • 13
    • 84919470597 scopus 로고    scopus 로고
    • Neighborhood socioeconomic disadvantage and 30-day rehospitalization: A retrospective cohort study
    • doi: 10.7326/M13-2946
    • Kind AJ, Jencks S, Brock J, Neighborhood socioeconomic disadvantage and 30-day rehospitalization: a retrospective cohort study. Ann Intern Med. 2014; 161 (11): 765-774. doi: 10.7326/M13-2946
    • (2014) Ann Intern Med , vol.161 , Issue.11 , pp. 765-774
    • Kind, A.J.1    Jencks, S.2    Brock, J.3
  • 15
    • 84995451147 scopus 로고    scopus 로고
    • The impact of disability and social determinants of health on condition-specific readmissions beyond Medicare risk adjustments: A cohort study
    • doi: 10.1007/s11606-016-3869-x
    • Meddings J, Reichert H, Smith SN, The impact of disability and social determinants of health on condition-specific readmissions beyond Medicare risk adjustments: a cohort study. J Gen Intern Med. 2017; 32 (1): 71-80. doi: 10.1007/s11606-016-3869-x
    • (2017) J Gen Intern Med , vol.32 , Issue.1 , pp. 71-80
    • Meddings, J.1    Reichert, H.2    Smith, S.N.3
  • 18
    • 84872806416 scopus 로고    scopus 로고
    • Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program
    • doi: 23340629
    • Joynt KE, Jha AK. Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program. JAMA. 2013; 309 (4): 342-343. doi: 10.1001/jama.2012.94856 23340629
    • (2013) JAMA , vol.309 , Issue.4 , pp. 342-343
    • Joynt, K.E.1    Jha, A.K.2
  • 19
    • 85018956022 scopus 로고    scopus 로고
    • Most hospitals received annual penalties for excess readmissions, but some fared better than others
    • doi: 10.1377/hlthaff.2016.1204
    • Thompson MP, Waters TM, Kaplan CM, Cao Y, Bazzoli GJ. Most hospitals received annual penalties for excess readmissions, but some fared better than others. Health Aff (Millwood). 2017; 36 (5): 893-901. doi: 10.1377/hlthaff.2016.1204
    • (2017) Health Aff (Millwood) , vol.36 , Issue.5 , pp. 893-901
    • Thompson, M.P.1    Waters, T.M.2    Kaplan, C.M.3    Cao, Y.4    Bazzoli, G.J.5
  • 20
    • 84941660684 scopus 로고    scopus 로고
    • The financial effect of value-based purchasing and the hospital readmissions reduction program on safety-net hospitals in 2014: A cohort study
    • doi: 10.7326/M14-2813
    • Gilman M, Hockenberry JM, Adams EK, Milstein AS, Wilson IB, Becker ER. The financial effect of value-based purchasing and the hospital readmissions reduction program on safety-net hospitals in 2014: a cohort study. Ann Intern Med. 2015; 163 (6): 427-436. doi: 10.7326/M14-2813
    • (2015) Ann Intern Med , vol.163 , Issue.6 , pp. 427-436
    • Gilman, M.1    Hockenberry, J.M.2    Adams, E.K.3    Milstein, A.S.4    Wilson, I.B.5    Becker, E.R.6
  • 21
    • 85053513068 scopus 로고    scopus 로고
    • Published October 24, Accessed December 3, 2017
    • NEJM Catalyst. Before penalizing hospitals, account for the social determinants of health. https://catalyst.nejm.org/penalizing-hospitals-account-social-determinants-of-health/. Published October 24, 2016. Accessed December 3, 2017.
    • (2016) Before Penalizing Hospitals, Account for the Social Determinants of Health
  • 22
    • 85012837296 scopus 로고    scopus 로고
    • Should Medicare value-based purchasing take social risk into account?
    • doi: 10.1056/NEJMp1616278
    • Joynt KE, De Lew N, Sheingold SH, Conway PH, Goodrich K, Epstein AM. Should Medicare value-based purchasing take social risk into account? N Engl J Med. 2017; 376 (6): 510-513. doi: 10.1056/NEJMp1616278
    • (2017) N Engl J Med , vol.376 , Issue.6 , pp. 510-513
    • Joynt, K.E.1    De Lew, N.2    Sheingold, S.H.3    Conway, P.H.4    Goodrich, K.5    Epstein, A.M.6
  • 23
    • 85012852426 scopus 로고    scopus 로고
    • Social risk factors and equity in Medicare payment
    • doi: 10.1056/NEJMp1700081
    • Buntin MB, Ayanian JZ. Social risk factors and equity in Medicare payment. N Engl J Med. 2017; 376 (6): 507-510. doi: 10.1056/NEJMp1700081
    • (2017) N Engl J Med , vol.376 , Issue.6 , pp. 507-510
    • Buntin, M.B.1    Ayanian, J.Z.2
  • 24
    • 84973503917 scopus 로고    scopus 로고
    • Pub L No. 114-255, 130 Stat 1033
    • 21st Century Cures Act. Pub L No. 114-255, 130 Stat 1033.
    • 21st Century Cures Act
  • 27
    • 84919468456 scopus 로고    scopus 로고
    • Considering the role of socioeconomic status in hospital outcomes measures
    • doi: 10.7326/M14-2308
    • Krumholz HM, Bernheim SM. Considering the role of socioeconomic status in hospital outcomes measures. Ann Intern Med. 2014; 161 (11): 833-834. doi: 10.7326/M14-2308
    • (2014) Ann Intern Med , vol.161 , Issue.11 , pp. 833-834
    • Krumholz, H.M.1    Bernheim, S.M.2
  • 29
    • 84904261607 scopus 로고    scopus 로고
    • Quality reporting that addresses disparities in health care
    • doi: 10.1001/jama.2014.7204
    • Jha AK, Zaslavsky AM. Quality reporting that addresses disparities in health care. JAMA. 2014; 312 (3): 225-226. doi: 10.1001/jama.2014.7204
    • (2014) JAMA , vol.312 , Issue.3 , pp. 225-226
    • Jha, A.K.1    Zaslavsky, A.M.2
  • 30
    • 84980322917 scopus 로고    scopus 로고
    • Examining race and ethnicity information in Medicare administrative data
    • doi: 10.1097/MLR.0000000000000608
    • Filice CE, Joynt KE. Examining race and ethnicity information in Medicare administrative data. Med Care. 2017; 55 (12): e170-e176. doi: 10.1097/MLR.0000000000000608
    • (2017) Med Care , vol.55 , Issue.12 , pp. e170-e176
    • Filice, C.E.1    Joynt, K.E.2
  • 31
    • 84980383663 scopus 로고    scopus 로고
    • Examining measures of income and poverty in Medicare administrative data
    • doi: 29135780
    • Samson LW, Finegold K, Ahmed A, Jensen M, Filice CE, Joynt KE. Examining measures of income and poverty in Medicare administrative data. Med Care. 2017; 55 (12): e158-e163. doi: 10.1097/MLR.0000000000000606 29135780
    • (2017) Med Care , vol.55 , Issue.12 , pp. e158-e163
    • Samson, L.W.1    Finegold, K.2    Ahmed, A.3    Jensen, M.4    Filice, C.E.5    Joynt, K.E.6
  • 32
    • 85031803009 scopus 로고    scopus 로고
    • Effect of a hospital-wide measure on the Readmissions Reduction Program
    • doi: 10.1056/NEJMsa1701791
    • Zuckerman RB, Joynt Maddox KE, Sheingold SH, Chen LM, Epstein AM. Effect of a hospital-wide measure on the Readmissions Reduction Program. N Engl J Med. 2017; 377 (16): 1551-1558. doi: 10.1056/NEJMsa1701791
    • (2017) N Engl J Med , vol.377 , Issue.16 , pp. 1551-1558
    • Zuckerman, R.B.1    Joynt Maddox, K.E.2    Sheingold, S.H.3    Chen, L.M.4    Epstein, A.M.5
  • 35
    • 85057941619 scopus 로고    scopus 로고
    • Accessed August 6, 2018.
    • Chronic Conditions Data Warehouse. https://www.ccwdata.org. Accessed August 6, 2018.
  • 36
    • 85057928700 scopus 로고    scopus 로고
    • Evaluation of the CMS-HCC risk adjustment model: final report.. Published March. Accessed August 1, 2018.
    • Pope GC, Kautter J, Ingber MJ, Freeman S, Sekar R, Newhart C. Evaluation of the CMS-HCC risk adjustment model: final report. https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/downloads/Evaluation-Risk-Adj-Model-2011.pdf. Published March 2011. Accessed August 1, 2018.
    • (2011)
    • Pope, G.C.1    Kautter, J.2    Ingber, M.J.3    Freeman, S.4    Sekar, R.5    Newhart, C.6
  • 37
    • 77957556164 scopus 로고    scopus 로고
    • Identifying types of nursing facility stays using Medicare claims data: An algorithm and validation
    • Yun H, Kilgore ML, Curtis JR, Identifying types of nursing facility stays using Medicare claims data: an algorithm and validation. Health Serv Outcomes Res Methodol. 2010; 10: 100-110. doi: 10.1007/s10742-010-0060-4
    • (2010) Health Serv Outcomes Res Methodol , vol.10 , pp. 100-110
    • Yun, H.1    Kilgore, M.L.2    Curtis, J.R.3
  • 38
    • 85078041671 scopus 로고    scopus 로고
    • Updated September 20, 2017. Accessed August 6, 2018.
    • Centers for Medicare & Medicaid Services. Master Beneficiary Summary File. https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/MBSF-LDS.html. Updated September 20, 2017. Accessed August 6, 2018.
    • Master Beneficiary Summary File
  • 39
    • 85057924296 scopus 로고    scopus 로고
    • Published June. Accessed August 1, 2018.
    • Medicare Payment Advisory Commission. Report to the Congress: Medicare and the Health Care Delivery System. http://www.medpac.gov/docs/default-source/reports/jun14-entirereport.pdf?sfvrsn=0. Published June 2014. Accessed August 1, 2018.
    • (2014) Report to the Congress: Medicare and the Health Care Delivery System
  • 40
    • 85057899003 scopus 로고    scopus 로고
    • American Community Survey data release.. Accessed August 1, 2018
    • United States Census Bureau. American Community Survey 2014 data release. https://www.census.gov/programs-surveys/acs/. Accessed August 1, 2018.
    • (2014)
  • 41
    • 84946493893 scopus 로고    scopus 로고
    • Medicare's Hospital Readmissions Reduction Program in surgery may disproportionately affect minority-serving hospitals
    • doi: 10.1097/SLA.0000000000000778
    • Shih T, Ryan AM, Gonzalez AA, Dimick JB. Medicare's Hospital Readmissions Reduction Program in surgery may disproportionately affect minority-serving hospitals. Ann Surg. 2015; 261 (6): 1027-1031. doi: 10.1097/SLA.0000000000000778
    • (2015) Ann Surg , vol.261 , Issue.6 , pp. 1027-1031
    • Shih, T.1    Ryan, A.M.2    Gonzalez, A.A.3    Dimick, J.B.4
  • 42
    • 79951699237 scopus 로고    scopus 로고
    • Thirty-day readmission rates for Medicare beneficiaries by race and site of care
    • doi: 10.1001/jama.2011.123
    • Joynt KE, Orav EJ, Jha AK. Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA. 2011; 305 (7): 675-681. doi: 10.1001/jama.2011.123
    • (2011) JAMA , vol.305 , Issue.7 , pp. 675-681
    • Joynt, K.E.1    Orav, E.J.2    Jha, A.K.3
  • 43
    • 84949895813 scopus 로고    scopus 로고
    • Impact of risk adjustment for socioeconomic status on risk-adjusted surgical readmission rates
    • doi: 10.1097/SLA.0000000000001363
    • Glance LG, Kellermann AL, Osler TM, Li Y, Li W, Dick AW. Impact of risk adjustment for socioeconomic status on risk-adjusted surgical readmission rates. Ann Surg. 2016; 263 (4): 698-704. doi: 10.1097/SLA.0000000000001363
    • (2016) Ann Surg , vol.263 , Issue.4 , pp. 698-704
    • Glance, L.G.1    Kellermann, A.L.2    Osler, T.M.3    Li, Y.4    Li, W.5    Dick, A.W.6
  • 44
    • 84982272588 scopus 로고    scopus 로고
    • Accounting for patients' socioeconomic status does not change hospital readmission rates
    • doi: 10.1377/hlthaff.2015.0394
    • Bernheim SM, Parzynski CS, Horwitz L, Accounting for patients' socioeconomic status does not change hospital readmission rates. Health Aff (Millwood). 2016; 35 (8): 1461-1470. doi: 10.1377/hlthaff.2015.0394
    • (2016) Health Aff (Millwood) , vol.35 , Issue.8 , pp. 1461-1470
    • Bernheim, S.M.1    Parzynski, C.S.2    Horwitz, L.3
  • 45
    • 84992130215 scopus 로고    scopus 로고
    • Impact of race/ethnicity and socioeconomic status on risk-adjusted hospital readmission rates following hip and knee arthroplasty
    • doi: 10.2106/JBJS.15.00884
    • Martsolf GR, Barrett ML, Weiss AJ, Impact of race/ethnicity and socioeconomic status on risk-adjusted hospital readmission rates following hip and knee arthroplasty. J Bone Joint Surg Am. 2016; 98 (16): 1385-1391. doi: 10.2106/JBJS.15.00884
    • (2016) J Bone Joint Surg Am , vol.98 , Issue.16 , pp. 1385-1391
    • Martsolf, G.R.1    Barrett, M.L.2    Weiss, A.J.3
  • 46
    • 85025093526 scopus 로고    scopus 로고
    • Macra: Big fix or big problem?
    • doi: 10.7326/M17-0230
    • McWilliams JM. Macra: big fix or big problem? Ann Intern Med. 2017; 167 (2): 122-124. doi: 10.7326/M17-0230
    • (2017) Ann Intern Med , vol.167 , Issue.2 , pp. 122-124
    • McWilliams, J.M.1
  • 47
    • 85042283206 scopus 로고    scopus 로고
    • Face the facts: We need to change the way we do pay for performance
    • doi: 10.7326/M17-3005
    • Frakt AB, Jha AK. Face the facts: we need to change the way we do pay for performance. Ann Intern Med. 2018; 168 (4): 291-292. doi: 10.7326/M17-3005
    • (2018) Ann Intern Med , vol.168 , Issue.4 , pp. 291-292
    • Frakt, A.B.1    Jha, A.K.2
  • 48
    • 85007044429 scopus 로고    scopus 로고
    • Pay-for-performance: Disappointing results or masked heterogeneity?
    • doi: 26743502
    • Markovitz AA, Ryan AM. Pay-for-performance: disappointing results or masked heterogeneity? Med Care Res Rev. 2017; 74 (1): 3-78. doi: 10.1177/1077558715619282 26743502
    • (2017) Med Care Res Rev , vol.74 , Issue.1 , pp. 3-78
    • Markovitz, A.A.1    Ryan, A.M.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.