Reductions in Medicare payments and patient outcomes: an analysis of 5 leading Medicare conditions
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Authors
Shen, Yu-Chu
Wu, Vivian Y.
Subjects
Medicare
payment reductions
patient outcomes
instrumental variables
payment reductions
patient outcomes
instrumental variables
Advisors
Date of Issue
2013-11
Date
Publisher
Lippincott Williams & Wilkins
Language
Abstract
Background: The Affordable Care Act enacted significant Medicare payment reductions to providers, yet the effects of such major reductions on patients remain unclear. We used the Balanced Budget Act (BBA) of 1997 as a natural experiment to study the long-term consequence of major payment reductions on patient outcomes. Objectives: To analyze whether mortality trends diverge over the years between hospitals facing different levels of payment cuts because of the BBA for 5 leading conditions: acute myocardial infarction, congestive heart failure, stroke, pneumonia, and hip fracture.
Type
Article
Description
Series/Report No
Department
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NPS Report Number
Sponsors
Funding
Format
8 p.
Citation
Medical Care, Volume 51, Number 11, November 2013
Distribution Statement
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
