Online Program

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Thursday, January 11
Thu, Jan 11, 2:00 PM - 3:45 PM
Crystal Ballroom F
Use of CMS Data and Tools to Help Researchers

Methodological considerations when adjusting quality measures for socioeconomic status (304220)

Cheryl Damberg, RAND Corporation 
Marc Nathan Elliott, RAND Corporation 
Ann Haas, RAND Corporation 
*Susan Paddock, RAND Corporation 
Melony Sorbero, RAND Corporation 

Keywords: disparity, Medicare, random effects model, socioeconomic status

The National Quality Forum (NQF) recently recommended that quality measures used in accountability and payment applications be assessed to determine whether they should be adjusted for differences in patient socioeconomic status (SES) between providers. Both public and private payers are exploring the potential effects of adjusting for SES. This presentation will cover methodological considerations when risk-adjusting quality measures for SES. Topics that will be covered include why adjustment for within-provider SES differences is appropriate for quality measures and how within-provider differences differ from total and between-provider differences. These methodological issues are explored using data from the Medicare Part C and D Star Rating program.