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Urban Safety Net Hospitals Fair Poorly on Patient Surveys, Study Finds
The article, published in the Journal of Hospital Medicine, found that large urban hospitals that serve as a safety net for patients with lower socioeconomic status, are at a disadvantage due to factors outside of their control.
Mandatory patient satisfaction surveys are one of the measures introduced by the Affordable Care Act to move away from the fee-for-service to a value-based healthcare system. CMS uses patient satisfaction scores to determine reimbursement levels to hospitals.
A team of researchers at Mount Sinai Health System, evaluated survey results from 3907 hospitals across the country and found that large health systems that serve population-dense urban regions with a patient population of lower socioeconomic status, fare worse on these surveys. The authors evaluated the data to identify statistical links between patients’ perceptions of their care and demographic factors outside the control of individual hospitals.
Two variables that had a high impact on the scores were hospital size and English as a second language. The authors went ahead and developed an adjustment formula to account for the inequities in the scores. “When this adjustment formula was applied to all New York State Hospitals, three large, urban academic medical centers — NY Presbyterian, Montefiore and Mount Sinai – moved into the top 10 in ranking,” according to one of the study authors. The article has been published in The Journal of Hospital Medicine.
Read the article on newswise: http://bit.ly/1HuSpl3
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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California Aims for Equity by Redefining Cancer Care
December 8th 2023Authors highlight key aspects of the California Cancer Care Equity Act, including its focus on Medi-Cal beneficiaries, the requirement for managed care plans to contract with specialized cancer centers, and the definition of complex cancers.
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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What We’re Reading: RSV Vaccine Demand; Permanent Contraception; Drug Negotiation Impact
December 8th 2023The Biden administration recently met with manufacturers of respiratory syncytial virus (RSV) immunizations to encourage them to increase access to the vaccine; since the Dobbs v Jackson decision, many patients have been seeking more permanent reproductive health care solutions; a Mathematica analysis showed that Medicare prescription drug price negotiations could have cut seniors’ out-of-pocket costs by nearly a quarter had the program been in effect in 2021.
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Patients With RA in Remission Withdrawing From TNF Inhibition Show Flare Increases
December 8th 2023New data presented at ACR 2023 highlighted the differences in rates of flares and Boolean 2.0 remission rates compared to patients with rheumatoid arthritis who continued a tumor necrosis factor inhibitor (TNFi).
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