CHANGES IN EFFICIENCY OF U.S. DIALYSIS CENTERS AMID REGULATORY AND PAYMENT REFORM
Author(s)
Stephens JM1, Barrus D2, Ma M2, Cotter D3, Thamer M3, Wish JB4
1Prima Health Analytics, Weymouth, MA, USA, 2Brigham Young University-Idaho, Rexburg, ID, USA, 3Medical Technology & Practice Patterns Institute, Bethesda, MD, USA, 4Indiana University School of Medicine, Indianapolis, IN, USA
OBJECTIVES: To evaluate the impact of a new prospective payment system (PPS) on the relative efficiency of U.S. Medicare-certified dialysis providers after implementation of this major payment reform in 2011. METHODS: In a longitudinal, facility-level retrospective analysis using national data from Medicare Renal Facility Cost Reports, a data envelopment analysis (DEA) was performed to model the technical efficiency of free-standing dialysis centers for the years 2010-2012. DEA uses a linear programming technique to convert multiple inputs (costs, staffing levels) and an output measure (number of dialysis sessions) to a relative efficiency score between 0 and 1, where scores are proportional to the efficiency frontier (score of 1.0). The DEA-based Malmquist Productivity Index was used to assess dynamic efficiency year over year. Results were stratified by industry segment and geographic and environmental covariates. RESULTS:
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PUK17
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Urinary/Kidney Disorders
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