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Managed Care Weekly Digest

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Duke University Medical Center



Hospital rankings: More than meets the eye



November 3rd, 2008

Medicare's pay-for-performance program ranks and rewards hospitals according to how well they meet certain guidelines for clinical care. But researchers at Duke Clinical Research Institute say the program penalizes hospitals that care for the greatest numbers of the poor and needy by not taking into account their greater clinical burden.

Studies show that age, race and severity of disease can influence which patients get certain treatments and how they fare, and these factors vary significantly from hospital to hospital. "That means that hospitals serving large groups of the elderly, women, poor, uninsured or African American patients might have problems competing with...


Source: Managed Care Weekly Digest (2008-11-03)

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