{"id":18962,"date":"2016-07-29T17:59:01","date_gmt":"2016-07-29T21:59:01","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=18962"},"modified":"2016-07-29T18:01:19","modified_gmt":"2016-07-29T22:01:19","slug":"new-data-from-cms-insurance-claims-will-empower-consumer-choice","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2016\/07\/new-data-from-cms-insurance-claims-will-empower-consumer-choice.html","title":{"rendered":"New data from CMS insurance claims will empower consumer choice"},"content":{"rendered":"

\"Leapfrog<\/a>A patient’s ability to choose the provider they want depends largely on information – same as any other choice, right? So this\u00a0blog has long praised The Leapfrog Group<\/a> for its deep analysis and publication of hospital quality and safety data, through its Hospital Safety Scores<\/a> service.<\/p>\n

Note that this isn’t just a “patient power” issue – if we don’t have this information, we can’t reward the hard working people who are doing a good job<\/em> at their hospital. I point this out because whenever data like this comes out, most of what we hear from providers is “Our low score isn’t justified!” with hardly anyone praising the excellent. Let’s do that!<\/p>\n

The news:<\/h2>\n

On Wednesday CMS announced<\/a> its new “Overall Hospital Quality Star Rating on Hospital Compare.” It’s a simplified summary (“overall quality”) of the many variables that for years have been reported on the Hospital Compare site.<\/p>\n

As the graph above shows, CMS’s ratings correlate with Leapfrog’s. (Hospital Compare\u00a0is the same data source Leapfrog uses, but CMS selected different variables.) The differences show that it’s still wise to be a thoughtful shopper (nobody’s perfect); at the same time, the similarities make pretty clear that some hospitals are better than others.<\/p>\n

Here’s Leapfrog’s announcement<\/a> too, from which that graphic was taken.<\/p>\n

Are these ratings sound and sensible?<\/h2>\n

\"Hospital<\/a>CMS (Centers for Medicare and Medicaid Services) is the US agency that pays for all Federally-paid healthcare. As a result, they have all\u00a0<\/em>the\u00a0data about what they got billed for – and that data can be analyzed, like any data, to find patterns of good and bad.<\/p>\n

Except that for years, hospitals protested and tried to block publication of the data. And every time ratings have been published, the people with the lowest ratings have argued that the system ain’t fair. (Seems to me I first heard that response in third grade.)<\/p>\n

In fairness, it’s important for any informed consumer to look behind the press releases. That’s what we did in 2012 to analyze Leapfrog’s ratings – click\u00a0the screen capture at right: we dug into specific variables to see what a typical\u00a0high-rated hospital looks like, and mid-rated ones, and low-rated ones. You’ll see there are no absolute patterns (i.e. nobody’s perfect) but there are clear broad\u00a0<\/em>patterns.<\/p>\n

Shop carefully for your momma’s hospital, or your baby’s, or your own! Use this information. Remember, nobody’s perfect, but we think consumers deserve to know – and we think great providers deserve recognition.<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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