Medicare readmissions policies and racial and ethnic health disparities: a cautionary tale.
Medicare readmissions policies and racial and ethnic health disparities: a cautionary tale.
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DOI：
10.1177/1527154411398490
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发表时间：
2010-11
期刊：
影响因子：
--
通讯作者：
Kang XL
中科院分区：
文献类型：
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作者：
McHugh MD;Carthon JM;Kang XL
从2009年开始，作为医院比较网站的一部分，医疗保险和医疗补助服务中心开始公开报告医院再入院率。从2013财政年度开始，如果医院的再入院率高于预期，将开始减少支付。以价值为基础的采购倡议，包括公开报告和按业绩支付奖励，有可能提高护理质量。然而，令人关切的是，由于种族和族裔少数群体的再入院率较高，向少数群体社区提供服务的医院可能因这些政策而受到不成比例的惩罚。利用2008年的医疗保险数据，我们评估了少数族裔再入院的风险，并讨论了对少数族裔服务机构的影响。
Beginning in 2009, the Centers for Medicare & Medicaid Services started publicly reporting hospital readmission rates as part of the Hospital Compare website. Hospitals will begin having payments reduced if their readmission rates are higher than expected starting in fiscal year 2013. Value-based purchasing initiatives including public reporting and pay-for-performance incentives have the potential to increase quality of care. There is concern, however, that hospitals providing service to minority communities may be disproportionately penalized as a result of these policies due to higher rates of readmissions among racial and ethnic minority groups. Using 2008 Medicare data, we assess the risk for readmission for minorities and discuss implications for minority-serving institutions.