Toward quality transparency in healthcare: Exploring hospital-operated online physician review systems in northeastern United States

Kordzadeh, Nima

doi:10.1016/j.hlpt.2019.11.003

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…First, the two transparency initiatives have different levels of public awareness that come from the supremacy of ownership. Hospital Compare data, managed at the federal level, is more widely acknowledged by over 4000 Medicare-certified health care providers than by APCDs [1]. Meanwhile, states' efforts on health care transparency can be stricken by federal decisions, as the legitimacy of state-mandated reporting of claim files to APCDs has been threatened by the Supreme Court.…”

Section: Discussionmentioning

confidence: 99%

“…Transparency in the health care sector has been identified as a tool to disseminate necessary information so that stakeholders can achieve multiple aims, including cost, quality, and access [1][2][3]. Introduced by the Affordable Care Act (ACA) in 2010, public reporting of standard charges has been promulgated across states, and since then, the federal government has adhered to an adamant stance on how compliance will be monitored and enforced.…”

Section: Introductionmentioning

confidence: 99%

“…An increasing number of government agencies, private companies, nonprofit organizations, and even individual health care organizations offer certain types of price, quality, and satisfaction data on health care providers [1]. In particular, a number of public and private payers in the U.S. mandated public reporting as part of pay-for-performance programs and value-based purchasing [5,6].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

Han

Lee

2021

Healthcare

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In the wake of growing attempts to assess the validity of public reporting, much research has examined the effectiveness of public reporting regarding cost or quality of care. However, relatively little is known about whether transparency through public reporting significantly influences hospital efficiency despite its emerging expectations for providing value-based care. This study aims to identify the dynamics that transparency brought to the healthcare market regarding hospital technical efficiency, taking the role of competition into account. We compare the two public reporting schemes, All-Payer Claims Database (APCD) and Hospital Compare. Employing Data Envelopment Analysis (DEA) and a cross-sectional time-series Tobit regression analysis, we found that APCD is negatively associated with hospital technical efficiency, while hospitals facing less competition responded significantly to increasingly transparent information by enhancing their efficiency relative to hospitals in more competitive markets. We recommend that policymakers take market mechanisms into consideration jointly with the introduction of public reporting schemes in order to produce the best outcomes in healthcare.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

Han

Lee

2021

Healthcare

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“…Hospital Compare data, managed at the federal level, are more widely acknowledged by over 4000 Medicare-certified health care providers than by APCDs. 17 Moreover, states’ efforts on health care transparency can be stricken by federal decision, as the legitimacy of state-mandated reporting of claim files to APCDs has been threatened by the Supreme Court. In Vermont, for example, the Court invalidated the state’s APCD statute that mandated reporting of health claims data from self-insured health plans because it imposed duties that were inconsistent with the central design of the Employee Retirement Income Security Act (ERISA).…”

Section: Discussionmentioning

confidence: 99%

“… 6 , 16 An increasing number of government agencies, private companies, nonprofit organizations, and even health care organizations offer certain types of price, quality, and satisfaction data on health care providers. 17 The transparency initiative of interest in this study is all-payer claims databases (APCDs). The APCDs are state-level archives that aggregate statewide health care data from various payers, and they are expected to reduce health care prices through competition fostered by informing consumers.…”

Section: Literature Review and Hypothesesmentioning

confidence: 99%

Disparate Impacts of Two Public Reporting Initiatives on Clinical and Perceived Quality in Healthcare

Park¹,

Han²

2021

RMHP

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Purpose Transparency is increasingly viewed as a prerequisite for value-based health care that invites quality in the assessment of achieved value. However, nowadays the ability of transparency initiatives to enhance quality of care remains obscure, if not rejected. Thus, this study aims to investigate how transparency initiatives influence two types of quality of care: clinical and perceived quality. Methods First, factor analyses were conducted to construct three dependent variables: healthcare-associated infections (HAIs), 30-day readmission rates, and patient satisfaction. Then, the three quality models were compared by running ordinary least squares multiple regressions using STATA 14.1. The existence of heteroskedasticity was remedied by using robust standard errors. Results Examining general acute care hospitals in the US, the present study noted that the ability of public reporting to improve quality of care remains inconclusive and that the pursuit of transparency may lead to inadvertent results. The disclosure of all-payer claims data (APCD) was found to have the power to differentiate hospitals’ clinical and perceived quality, but it failed to reach the desired outcomes without market pressure. The impact of transparency on quality of care diverges depending on the unique characteristics of each transparency policy, even though they pursue the same ends through information dissemination. Furthermore, the same public policy showed starkly disparate impacts on clinical quality (eg, healthcare-associated infections (HAIs) and 30-day readmission rates) and perceived quality (eg, patient satisfaction). Conclusion Despite the theoretically acknowledged merits of transparency, the present study noted that its ability to enhance quality of care remains inconclusive, and the pursuit of transparency may even inadvertently harm quality of care. While hospitals may need to finetune their strategies for each quality measurement in order to cope with the new environmental pressure, it is health policymakers’ role to coordinate those quality metrics and improve the validity of patient experience measures and surveys.

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The impact of transparency constraints on the efficiency of the Russian healthcare system: systematic literature review

Timofeyev

Дремова²,

Jakovljević

2023

Journal of Medical Economics

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Toward quality transparency in healthcare: Exploring hospital-operated online physician review systems in northeastern United States

Cited by 6 publications

References 19 publications

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

Disparate Impacts of Two Public Reporting Initiatives on Clinical and Perceived Quality in Healthcare

The impact of transparency constraints on the efficiency of the Russian healthcare system: systematic literature review

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