ArticleHealth services research2010
Has pay-for-performance decreased access for minority patients?
Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Pay for performance for hospitals.The Cochrane database of systematic reviews · 2019Pooled it
- Impact of a Pay-for-Performance Program on Care for Black Patients with Hypertension: Important Answers in the Era of the Affordable Care Act.Health services research · 2017Trial
- Assessing healthcare payment reforms' effects on economic inequities and catastrophic expenditures among cancer patients in ethnic minority regions of China.BMC medicine · 2025Article
- Do penalty-based pay-for-performance programs improve surgical care more effectively than other payment strategies? A systematic review.Annals of medicine and surgery (2012) · 2020Review
- Assessment of Hospital Readmissions From the Emergency Department After Implementation of Medicare's Hospital Readmissions Reduction Program.JAMA network open · 2020Article
- A comparison of methods for health policy evaluation with controlled pre-post designs.Health services research · 2020Article
- Moderating Effects of Patient Characteristics on the Impact of Financial Incentives.Medical care research and review : MCRR · 2019Article
- Pay-for-Performance: Disappointing Results or Masked Heterogeneity?Medical care research and review : MCRR · 2017Review
- The Quality of Surgical and Pneumonia Care in Minority-Serving and Racially Integrated Hospitals.Health services research · 2016Article
- Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use.Journal of general internal medicine · 2016Article
- Patients' views on pay for performance in France: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- How to reform western care payment systems according to physicians, policy makers, healthcare executives and researchers: a discrete choice experiment.BMC health services research · 2015Article
- Performance-based outcomes of inpatient rehabilitation facilities treating hip fracture patients in the United States.Archives of physical medicine and rehabilitation · 2015Article
- Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions.Rand health quarterly · 2014Article
- Access to coronary artery bypass graft surgery under pay for performance: evidence from the premier hospital quality incentive demonstration.Circulation. Cardiovascular quality and outcomes · 2014Article
- Ethnic variations in unplanned readmissions and excess length of hospital stay: a nationwide record-linked cohort study.European journal of public health · 2013Article
- Why did most French GPs choose not to join the voluntary national pay-for-performance program?PloS one · 2013Article
- Pay for obesity? Pay-for-performance metrics neglect increased complication rates and cost for obese patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011Article
- Do hospitals alter patient care effort allocations under pay-for-performance?Health services research · 2011Article
- The unintended consequence of diabetes mellitus pay-for-performance (P4P) program in Taiwan: are patients with more comorbidities or more severe conditions likely to be excluded from the P4P program?Health services research · 2011Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether the CMS and Premier Inc. Hospital Quality Incentive Demonstration (PHQID), a hospital-based pay-for-performance (P4P) and public quality reporting program, caused participating hospitals (1) to avoid treating minority patients diagnosed with acute myocardial infarction (AMI), heart failure, and pneumonia and (2) to avoid providing coronary artery bypass graft (CABG) to minority patients diagnosed with AMI. DATA SOURCES: One hundred percent Medicare inpatient claims, denominator files, and provider of service files from 2000 to 2006. STUDY
designWe test for differences in the conditional probability of receiving care at PHQID hospitals for AMI, heart failure, and pneumonia before and after implementation of the PHQID between white and minority patients. We also test for differences in the conditional probability that white and minority patients diagnosed with AMI receive CABG in hospitals participating, and not participating, in the PHQID before and after the implementation of the PHQID. DATA EXTRACTION
methodsData were obtained from CMS. PRINCIPAL
findingsWe find little evidence that the PHQID reduced access for minority patients: only "Other Race" beneficiaries had a significant reduction in adjusted admissions to PHQID hospitals in the postperiod, and only for AMI. Only marginally significant ( p<.10) evidence of a reduction in CABG was found, also occurring for Other Race beneficiaries.
conclusionsDespite minimal evidence of minority patient avoidance in the PHQID, monitoring of avoidance should continue for P4P programs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.