Skip Navigation LinksHome > July/September 2014 - Volume 37 - Issue 3 > Conceptual Errors in the CMS Refusal to Make Socioeconomic A...
Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0000000000000042
Original Articles

Conceptual Errors in the CMS Refusal to Make Socioeconomic Adjustments in Readmission and Other Quality Measures

Atkinson, Graham DPhil; Giovanis, Theodore MBA

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Abstract

The Centers for Medicaid & Medicare Services has made a policy decision that socioeconomic factors should not be adjusted for in its various quality measures and point both to arguments made by the National Quality Forum and to analysis of the distributions of quality results to support this view. We present counterarguments to this viewpoint and use the results reported by the Centers for Medicaid & Medicare Services to support its position to demonstrate that adjustments are necessary. We further argue that the incentives for providers to improve performance would not be weakened by including socioeconomic factor adjustments.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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