Has pay-for-performance decreased access for minority patients?

ABSTRACT:

Objective

To examine whether the CMS and Premier Inc. Hospital Quality Incentive Demonstration (PHQID), a hospital-based pay-for-performance (P4P) and public quality reporting program, caused participating hospitals (1) to avoid treating minority patients diagnosed with acute myocardial infarction (AMI), heart failure, and pneumonia and (2) to avoid providing coronary artery bypass graft (CABG) to minority patients diagnosed with AMI.

Data sources

One hundred percent Medicare inpatient claims, denominator files, and provider of service files from 2000 to 2006.

Study design

We test for differences in the conditional probability of receiving care at PHQID hospitals for AMI, heart failure, and pneumonia before and after implementation of the PHQID between white and minor

SUBMITTER: Ryan AM 

PROVIDER: S-EPMC2813434 | biostudies-literature | 2010 Feb

REPOSITORIES: biostudies-literature