Medicare's Hospital Acquired Condition Reduction Program Disproportionately Affects Minority-serving Hospitals: Variation by Race, Socioeconomic Status, and Disproportionate Share Hospital Payment Receipt.

ABSTRACT:

Objective

To assess whether a hospital's percentage of Black patients associates with variations in FY2017 overall/domain-specific Hospital Acquired-Condition Reduction Program (HACRP) scores and penalty receipt. Differences in socioeconomic status and receipt of disproportionate share hospital payments (a marker of safety-net status) were also assessed.

Summary of background data

In FY2015, Medicare began reducing payments to hospitals with high adverse event rates. Concern has been expressed that HACRP penalties could adversely affect minority-serving hospitals, leading to reductions in resources and exasperation of disparities among hospitals with the greatest need.

Methods

100% Medicare FFS claims from 2013 to 2014 identified older adult inpatients, aged ≥65 years

SUBMITTER: Zogg CK 

PROVIDER: S-EPMC8106480 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature