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Monetary penalties for dialysis facilities don’t enhance efficiency

Efficiency-based monetary penalties towards outpatient dialysis facilities beneath the Finish-Stage Renal Illness High quality Incentive Program (ESRD QIP) don’t enhance efficiency scores, in accordance with a research printed on-line Might 31 within the Annals of Inner Medication.

Kyle H. Sheetz, M.D., from the College of Michigan in Ann Arbor, and colleagues examined whether or not penalization is related to enchancment in dialysis middle high quality in a research carried out at 5,830 outpatient dialysis facilities in america.

The researchers discovered that 19.0 p.c of the outpatient dialysis facilities obtained penalties in 2017 primarily based on efficiency in 2015. Penalized facilities have been located in ZIP codes that had a considerably increased common proportion of non-White residents (36.4 versus 31.2 p.c) and residents with decrease median revenue ($49,290 versus $51,686). There was no correlation for penalization with enchancment in whole efficiency scores in 2017 or 2018 (0.4 and 0.3 factors). This was noticed throughout facilities with completely different traits. No correlation was seen between penalization and enchancment in particular measures.

“Efficiency-based monetary penalties beneath the ESRD QIP weren’t related to enchancment within the high quality of outpatient dialysis facilities,” the authors write. “These knowledge recommend that Facilities for Medicare & Medicaid Companies could think about modifications to this system design as they proceed to experiment with methods to enhance the care of sufferers with ESRD.”


Well being system clinicians carry out higher beneath medicare value-based reimbursement


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