Title: Healthcare outcomes, information technology, and Medicare reimbursements: a hospital-level analyses
Authors: Danish H. Saifee; Indranil R. Bardhan
Addresses: Naveen Jindal School of Management, SM 33, The University of Texas at Dallas, Richardson, TX 75080, USA ' Naveen Jindal School of Management, SM 33, The University of Texas at Dallas, Richardson, TX 75080, USA
Abstract: The interplay between healthcare service quality, health IT, and variation in reimbursements for healthcare services is an understudied phenomenon. We propose a unified framework to empirically examine the association between healthcare quality, health IT usage and Medicare reimbursements for congestive heart failure cases. Hospital-level data from multiple sources, including Medicare, CMS hospital compare, and HIMSS Analytics, were obtained and integrated for the analyses reported in this study. Our empirical analyses, based on a three-year panel dataset of CHF patients, indicates a negative association between hospital mortality rates and average Medicare reimbursements, and a positive association between readmission rates and Medicare payments. We report a weak positive association between the usage of health IT systems and magnitude of average Medicare payments, suggesting that hospitals with greater usage of health IT exhibit higher Medicare reimbursements.
Keywords: mortality rates; hospital readmissions; health IT usage; Medicare payments; congestive heart failure; healthcare outcomes; information technology; hospitals; healthcare services; service quality; Medicare reimbursements.
International Journal of Electronic Healthcare, 2017 Vol.9 No.2/3, pp.129 - 156
Available online: 06 Mar 2017 *Full-text access for editors Access for subscribers Purchase this article Comment on this article