Table B.
Opinions About Program Methodology—Adjusted for Hospital Characteristics and Socioeconomic Factorsa
| Overall | No Penaltyb (N = 245) | Minor Penaltyb (N = 321) | Major Penaltyb (N = 385) | Pc | |
|---|---|---|---|---|---|
| Hospitals Answering “Agree” or “Agree Strongly” | |||||
| The methods used to calculate the penalties don’t account for differences in patients’ socioeconomic status. | 76.5% | 74.9% | 72.1% | 81.3% | <.0001 |
| The methods used to calculate the penalties don’t adequately account for differences in patients’ medical complexity. | 76.4% | 73.6% | 72.4% | 81.5% | <.0001 |
| Hospitals have no ability or a limited ability to impact patients’ adherence to treatments. | 65.0% | 56.8% | 64.2% | 71.0% | <.0001 |
| Risk-adjusted readmission rates are not an accurate metric of the quality of care hospitals deliver. | 63.2% | 61.0% | 62.3% | 65.3% | .075 |
| Hospitals have no ability or a limited ability to impact care delivered at nursing homes and rehabilitation facilities. | 61.8% | 55.6% | 66.8% | 61.6% | <.0001 |
| Hospitals have no ability or a limited ability to impact ambulatory care delivered outside the hospital. | 59.1% | 49.0% | 60.0% | 64.8% | <.0001 |
a
Results are adjusted for sample weights, nonresponse bias, and hospital characteristics, including size, teaching status, ownership, urban location, and region, and safety net status, as well as proportion of the hospital’s Medicare patients that self-identify as black.
b
Penalties are those that were applied to payments in fiscal year 2013, when our survey was in the field. Minor penalties were defined as those that were less than the median; major penalties were those that were greater than the median.
c
P value reflects a difference across groups stratified by penalty receipt.