Effects of the Premier Hospital Quality Incentive Demonstration on Medicare patient mortality and cost.

ABSTRACT:

Objective

To evaluate the effects of the Premier Inc. and Centers for Medicare and Medicaid Services Hospital Quality Incentive Demonstration (PHQID), a public quality reporting and pay-for-performance (P4P) program, on Medicare patient mortality, cost, and outlier classification.

Data sources

The 2000-2006 Medicare inpatient claims, Medicare denominator files, and Medicare Provider of Service files.

Study design

Panel data econometric methods are applied to a retrospective cohort of 11,232,452 admissions from 6,713,928 patients with principal diagnoses of acute myocardial infarction (AMI), heart failure, pneumonia, or a coronary-artery bypass grafting (CABG) procedure from 3,570 acute care hospitals between 2000 and 2006. Three estimators are used to evaluate the eff

SUBMITTER: Ryan AM 

PROVIDER: S-EPMC2699910 | biostudies-literature | 2009 Jun

REPOSITORIES: biostudies-literature