Determining the value proposition of surgical care in CMS star rated hospitals. Academic Article uri icon

Overview

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.

publication date

  • November 18, 2022

Research

keywords

  • Hospitals
  • Inpatients

Identity

Scopus Document Identifier

  • 85143141433

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2022.11.022

PubMed ID

  • 36462958

Additional Document Info

volume

  • 225

issue

  • 3