Evidence map›Paper›PMID 30136284›Full record

ArticleHealth services research2018

Comparison of Approaches for Aggregating Quality Measures in Population-based Payment Models.

Alex McDowell, Christina A Nguyen, Michael E Chernew, Kevin N Tran, J Michael McWilliams, Bruce E Landon, Mary Beth Landrum

Abstract readComparative Study
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alex McDowellHarvard University, Boston, MA.
Christina A NguyenDepartment of Health Care Policy, Harvard Medical School, Boston, MA.ORCID 0000-0003-3057-0453
Michael E ChernewDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Kevin N TranIBM Watson Health, Cambridge, MA.
J Michael McWilliamsDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Bruce E LandonDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Mary Beth LandrumDepartment of Health Care Policy, Harvard Medical School, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of alternative methods of aggregating individual quality measures on Accountable Care Organization (ACO) overall scores. DATA SOURCE: 2014 quality scores for Medicare ACOs. STUDY

designWe compare ACO overall scores derived using CMS' aggregation approach to those derived using alternative approaches to grouping and weighting measures. PRINCIPAL

findingsAlternative grouping and weighting methods based on statistical criteria produced overall quality scores similar to those produced using CMS' approach (κ = 0.80 to 0.95). Scores derived from giving specific domains greater weight were less similar (κ = 0.51 to 0.93).

conclusionsHow measures are grouped into domains and how these domains are weighted to generate overall scores can have important implications for ACO's shared savings payments.

Indexed as

Reimbursement MechanismsAccountable Care OrganizationsCost SavingsFee-for-Service PlansHumansMedicareModels, StatisticalQuality Indicators, Health CareUnited Statesevaluation design and researchhealth care organizations and systemshealth policy/politics/law/regulationpayment systems: FFS/capitation/RBRVS/DRGs/risk adjusted payments etc.Quality of care/patient safety (measurement)

Identifiers

PMID30136284
PMCPMC6232509

What OpenQuestion holds

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Registered trials

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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.