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Payment Reform and Health Disparities: Changes in Dialysis Modality under the New Medicare Dialysis Payment System
| Content Provider | Scilit |
|---|---|
| Author | Turenne, Marc Baker, Regina Pearson, Jeffrey Cogan, Chad Mukhopadhyay, Purna Cope, Elizabeth |
| Copyright Year | 2017 |
| Description | Journal: Health Services Research To evaluate the effect of the Medicare dialysis payment reform on potential disparities in the selection of peritoneal dialysis (PD) for the treatment of end-stage renal disease (ESRD). Centers for Medicare & Medicaid Services (CMS) ESRD Medical Evidence Form, Medicare claims, and other CMS data for 2008-2013. We examined the association of patient age, race/ethnicity, urban/rural location, pre-ESRD care, comorbidities, insurance, and other factors with the selection of PD as initial dialysis modality across prereform (2008-2009), interim (2010), and postreform (2011-2013) time periods. Selection of PD increased among diverse patient subgroups following the payment reform. However, the lower PD selection observed with older age, black race, Hispanic ethnicity, less pre-ESRD care, and Medicaid insurance before the reform largely remained in the initial postreform years. Despite recent growth in PD, there may be ongoing disparities in access to PD that have largely not been mitigated by the payment reform. There is potential for modifying provider financial incentives to achieve policy goals related to cost and quality of care. However, even with a substantial shift in financial incentives, separate initiatives to reduce existing disparities in care may be needed. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5980208/pdf |
| Ending Page | 1457 |
| Page Count | 28 |
| Starting Page | 1430 |
| e-ISSN | 14756773 |
| DOI | 10.1111/1475-6773.12713 |
| Journal | Health Services Research |
| Issue Number | 3 |
| Volume Number | 53 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2017-05-30 |
| Access Restriction | Open |
| Subject Keyword | Journal: Health Services Research Public Health and Health Services Payment Systems Health Care Disparities Provider Incentives Treatment Options |
| Content Type | Text |
| Resource Type | Article |
