Hemodialysis Hospitalizations and Readmissions: The Effects of Payment Reform.

ABSTRACT:

Background

In 2004, the Centers for Medicare & Medicaid Services changed reimbursement for physicians and advanced practitioners caring for patients receiving hemodialysis from a capitated to a tiered fee-for-service system, encouraging increased face-to-face visits. This early version of a pay-for-performance initiative targeted a care process: more frequent provider visits in hemodialysis. Although more frequent provider visits in hemodialysis are associated with fewer hospitalizations and rehospitalizations, it is unknown whether encouraging more frequent visits through reimbursement policy also yielded these benefits.

Study design

We used a retrospective cohort interrupted time-series study design to examine whether the 2004 nephrologist reimbursement reform led to reduc

SUBMITTER: Erickson KF 

PROVIDER: S-EPMC5263112 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature