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- W1574596194 abstract "Author’s response— Dear Editor: In our difference-in-difference–based analysis of hospital administrative data, we found a reduced incidence of pulmonary embolism (PE) and deep vein thrombosis (DVT) associated with Centers for Medicare andMedicaid Services’ (CMS) payment reform for hospital-acquired conditions. In their comment, Taylor, Ecker and Taylor suggest this may be due to hospitals reducing their screening practices for this postsurgical complication. This is a possible explanation, but one which we consider unlikely. Our findings of reduced incidence of PE or DVT post-CMS reimbursement reform were due to both a decrease in complication incidence in the Medicare population, as well as an increase in incidence of complication in the non-Medicare population. If screening was the main factor, as Taylor et al. suggest, hospitals would have to influence physicians to reduce screening in Medicare patients while also influencing physicians to increase screening in non-Medicare patients. Given the challenges often faced in changing provider practice patterns, we consider it improbable that hospitals were able to successfully persuade physicians to change their screening practices—in opposite directions based on patient insurance status—in the few months after CMS payment reform. Nevertheless, Taylor, Ecker and Taylor identify an important mechanism that could benefit from further study." @default.
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- W1574596194 date "2015-07-16" @default.
- W1574596194 modified "2023-09-28" @default.
- W1574596194 title "CMS Reimbursement Reform" @default.
- W1574596194 doi "https://doi.org/10.1007/s11606-015-3465-5" @default.
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