Determining the value proposition of surgical care in CMS star rated hospitals.
Am J Surg
; 225(3): 541-544, 2023 03.
Article
in En
| MEDLINE
| ID: mdl-36462958
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hospitals
/
Inpatients
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Am J Surg
Year:
2023
Document type:
Article