Market Competition and Anemia Management in the United States Following Dialysis Payment Reform.

ABSTRACT:

Background

Whether market competition influences health care provider responses to national reimbursement reforms is unknown.

Objectives

We examined whether changes in anemia management after the expansion of Medicare's dialysis payment bundle varied with market competition.

Research design

With data from the US dialysis registry, we used a difference-in-differences (DID) design to estimate the independent associations of market competition with changes in anemia management after dialysis reimbursement reform.

Subjects

A total of 326,150 patients underwent in-center hemodialysis in 2009 and 2012, representing periods before and after reimbursement reform.

Measures

Outcomes were erythropoiesis-stimulating agent (ESA) and intravenous iron dosage, the proba

SUBMITTER: Bhatnagar A 

PROVIDER: S-EPMC10592119 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature