Paying for Performance Improvement in Quality and Outcomes of Cardiovascular Care: Challenges and Prospects
By: Mustafa Husaini and Karen E. Joynt Maddox
References
- Wasfy JH Borden WB Secemsky EA McCabe JM Yeh RW Public reporting in cardiovascular medicine: accountability, unintended consequences, and promise for improvement Circulation 2015 Apr 28 131 17 1518 27
- Joynt KE Orav EJ Zheng J Jha AK Public Reporting of Mortality Rates for Hospitalized Medicare Patients and Trends in Mortality for Reported Conditions Ann Intern Med 2016 Aug 2 165 3 153 60
- Chee TT Ryan AM Wasfy JH Borden WB Current State of Value-Based Purchasing Programs Circulation 2016 May 31 133 22 2197 205
- Figueroa JF Tsugawa Y Zheng J Orav EJ Jha AK Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study BMJ 2016 May 9 353 i2214
- Zuckerman RB Sheingold SH Epstein AM The Hospital Readmissions Reduction Program N Engl J Med 2016 Aug 4 375 5 494
- Ibrahim AM Dimick JB Sinha SS Hollingsworth JM Nuliyalu U Ryan AM Association of Coded Severity With Readmission Reduction After the Hospital Readmissions Reduction Program JAMA Intern Med 2018 Feb 1 178 2 290 2
- Ody C Msall L Dafny LS Grabowski DC Cutler DM Decreases In Readmissions Credited To Medicare's Program To Reduce Hospital Readmissions Have Been Overstated Health Aff (Millwood) 2019 Jan 38 1 36 43
- Wadhera RK Joynt Maddox KE Wasfy JH Haneuse S Shen C Yeh RW Association of the Hospital Readmissions Reduction Program With Mortality Among Medicare Beneficiaries Hospitalized for Heart Failure, Acute Myocardial Infarction, and Pneumonia JAMA 2018 Dec 25 320 24 2542 52
- Gupta A Allen LA Bhatt DL Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure JAMA Cardiol 2018 Jan 1 3 1 44 53
- McWilliams JM Hatfield LA Landon BE Hamed P Chernew ME Medicare Spending after 3 Years of the Medicare Shared Savings Program N Engl J Med 2018 Sep 20 379 12 1139 49
- McWilliams JM Chernew ME Landon BE Medicare ACO Program Savings Not Tied To Preventable Hospitalizations Or Concentrated Among High-Risk Patients Health Aff (Millwood) 2017 Dec 36 12 2085 93
- Joynt Maddox KE Orav EJ Zheng J Epstein AM Evaluation of Medicare's Bundled Payments Initiative for Medical Conditions N Engl J Med 2018 Jul 19 379 3 260 9
- Johnston KJ Wen H Schootman M Joynt Maddox KE Association of Patient Social, Cognitive, and Functional Risk Factors with Preventable Hospitalizations: Implications for Physician Value-Based Payment J Gen Intern Med 2019 Aug 34 8 1645 52
- Johnston KJ Joynt Maddox KE The Role Of Social, Cognitive, And Functional Risk Factors In Medicare Spending For Dual And Nondual Enrollees Health Aff (Millwood) 2019 Apr 38 4 569 76
- Johnston KJ Wen H Hockenberry JM Joynt Maddox KE Association Between Patient Cognitive and Functional Status and Medicare Total Annual Cost of Care: Implications for Value-Based Payment JAMA Intern Med 2018 Nov 1 178 11 1489 97
- Joynt KE Jha AK Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program JAMA 2013 Jan 23 309 4 342 3
- Joynt Maddox KE Reidhead M Hu J Adjusting for social risk factors impacts performance and penalties in the hospital readmissions reduction program Health Serv Res 2019 Apr 54 2 327 36
- Joynt Maddox KE Reidhead M Qi AC Nerenz DR Association of Stratification by Dual Enrollment Status With Financial Penalties in the Hospital Readmissions Reduction Program JAMA Intern Med 2019 Jun 1 179 6 769 76
- Chen LM Epstein AM Orav EJ Filice CE Samson LW Joynt Maddox KE Association of Practice-Level Social and Medical Risk With Performance in the Medicare Physician Value-Based Payment Modifier Program JAMA 2017 Aug 1 318 5 453 61
- Roberts ET Zaslavsky AM McWilliams JM The Value-Based Payment Modifier: Program Outcomes and Implications for Disparities Ann Intern Med 2018 Feb 20 168 4 255 65
- McCabe JM Kennedy KF Eisenhauer AC Reporting trends and outcomes in ST-segment-elevation myocardial infarction national hospital quality assessment programs Circulation 2014 Jan 14 129 2 194 202
- Casalino LP Gans D Weber R US Physician Practices Spend More Than $15.4 Billion Annually To Report Quality Measures Health Aff (Millwood) 2016 Mar 35 3 401 6
- Baker LC Pesko M Ramsay P Casalino LP Shortell SM Are Changes in Medical Group Practice Characteristics Over Time Associated With Medicare Spending and Quality of Care? Med Care Res Rev 2018 Nov 22 1077558718812939
- Mortazavi BJ Bucholz EM Desai NR Comparison of Machine Learning Methods With National Cardiovascular Data Registry Models for Prediction of Risk of Bleeding After Percutaneous Coronary Intervention JAMA Netw Open 2019 Jul 3 2 7 e196835
- Huang C Murugiah K Mahajan S Enhancing the prediction of acute kidney injury risk after percutaneous coronary intervention using machine learning techniques: A retrospective cohort study PLoS Med 2018 Nov 27 15 11 e1002703
- Krumholz HM Coppi AC Warner F Comparative Effectiveness of New Approaches to Improve Mortality Risk Models From Medicare Claims Data JAMA Netw Open 2019 Jul 3 2 7 e197314
- Joynt Maddox KE Orav EJ Zheng J Epstein AM How Do Frail Medicare Beneficiaries Fare Under Bundled Payments? J Am Geriatr Soc 2019 Nov 67 11 2245 53
- Johnston KJ Wen H Joynt Maddox KE Inadequate Risk Adjustment Impacts Geriatricians' Performance on Medicare Cost and Quality Measures J Am Geriatr Soc 2020 Feb 68 2 297 304
- Kim DH Glynn RJ Avorn J Validation of a Claims-Based Frailty Index Against Physical Performance and Adverse Health Outcomes in the Health and Retirement Study J Gerontol A Biol Sci Med Sci 2019 Jul 12 74 8 1271 6
- Segal JB Chang HY Du Y Walston JD Carlson MC Varadhan R Development of a Claims-based Frailty Indicator Anchored to a Well-established Frailty Phenotype Med Care 2017 Jul 55 7 716 22
- Kim DH Schneeweiss S Glynn RJ Lipsitz LA Rockwood K Avorn J Measuring Frailty in Medicare Data: Development and Validation of a Claims-Based Frailty Index J Gerontol A Biol Sci Med Sci 2018 Jun 14 73 7 980 7
- Weeks WB Cao SY Lester CM Weinstein JN Morden NE Use of Z-Codes to Record Social Determinants of Health Among Fee-for-service Medicare Beneficiaries in 2017 J Gen Intern Med 2020 Mar 35 3 952 5
- Akron's Children Hospital [Internet]. Akron, Ohio Akron Children's Hospital c2020 Electronic Medical Records: It's Back to the Future; 2012 Feb 20 [cited 2020 Apr 14[. Available from: https://inside.akronchildrens.org/2012/02/20/electronic-medical-records-its-back-to-the-future
- Kaiser Health News [Internet]. Oakland, CA Kaiser Family Foundation c2020 Schulte F Fry E Death By 1,000 Clicks: Where Electronic Health Records Went Wrong 2019 Mar 18 [cited 2020 Apr 14]. Available from: https://khn.org/news/death-by-a-thousand-clicks
- American College of Cardiology [Internet]. Washington, DC American College of Cardiology Foundation c2020 Reducing Administrative Burden c2019 [cited 2020 Apr 14]. Available from: https://www.acc.org/tools-and-practice-support/advocacy-at-the-acc/acc-health-care-principles/reducing-administrative-burden
- McIlvennan CK Eapen ZJ Allen LA Hospital readmissions reduction program Circulation 2015 May 19 131 20 1796 803
DOI: https://doi.org/10.14797/mdcj-16-3-225 | Journal eISSN: 1947-6108
Language: English
Page range: 225 - 231
Published on: Jul 1, 2020
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services
Keywords:
© 2020 Mustafa Husaini, Karen E. Joynt Maddox, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.