SOCIOECONOMIC DISPARITIES IN THE MEDICARE HOSPICE CARE INDEX (HCI) INDICATORS
Michael Plotzke, Thomas Christian · 2023
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Description
Michael Plotzke and Thomas Christian examined whether Medicare's hospice quality scores hide gaps tied to patients' social position, in this 2023 study. The Hospice Care Index grades providers on ten claims-based measures. Using two years of Medicare claims, the authors modeled each measure against patient and provider traits, including race, Medicaid status, rurality, and neighborhood deprivation.
Once provider traits were counted, gaps between similar patients shrank a lot. One nursing-visit measure still differed slightly by race, and leaving provider traits out widened every gap. The pattern suggests patients are mostly treated alike inside one hospice. Instead, sorting does the damage: disadvantaged patients land more often in lower-quality hospices. The authors say fixes should target that sorting, not bedside bias alone.
Catalog record
| CREATOR | Michael Plotzke, Thomas Christian |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |