AI Article Synopsis
- CMS Hospital Quality Star ratings indicate the quality of patient care, and there's a hypothesis that higher ratings might lead to higher costs and reduced value.
- A study analyzed data from Florida in 2019, focusing on partial colectomy to compare costs and care between high (5 Star) and low (1 Star) rated hospitals.
- Results showed that while total costs were similar across Star ratings, 5 Star hospitals had shorter stays and lower costs in certain areas, suggesting they provide higher quality care without a significant increase in costs.
Article Abstract
Background: CMS Hospital Quality Star ratings reflect the quality of care given to patients. It is hypothesized that increased Star-rating is associated with higher cost and that the value proposition is diminished.
Methods: This study used the Florida AHCA inpatient dataset, CY2019. Partial colectomy was selected as a representative inpatient surgical procedure. Analysis was performed on this data to compare high and low Star-rated hospitals.
Results: Total costs were equivalent among all Star levels on initial analysis. In a propensity matched comparison with 1 Star, 5 Star hospitals had significantly lower length-of-stay and ICU, anesthesia, radiology and lab costs, and conversely, had higher total (+2%), operating room and med-surg supply costs.
Conclusions: These results demonstrate that total colectomy costs are functionally equivalent among the CMS 1- and 5- Star categories. The results indicate that higher CMS Star ratings fulfill the value proposition and indeed offer higher quality without significantly increased cost.
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| http://dx.doi.org/10.1016/j.amjsurg.2022.11.022 | DOI Listing |
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