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AMERICAN JOURNAL OF MANAGEMENT

Does Serving the Poor Reduce Hospital Quality? An Assessment of
Cross-Sectional Data – 2006-2009


Author(s): Jeffrey R. Helton, Brenda L. Freshman

Citation: Jeffrey R. Helton, Brenda L. Freshman, (2012) "Does Serving the Poor Reduce Hospital Quality? An Assessment of Cross-Sectional Data – 2006-2009," American Journal of Management, Vol. 12, Iss. 2/3, pp. 40 - 49

Article Type: Research paper

Publisher: North American Business Press

Abstract:

Current health reform legislation includes revenue reductions to hospitals not meeting quality standards set by the Centers for Medicare and Medicaid Services. Using publicly available data for hospitals from 2006-2009, the study sought to determine the extent to which services to the poor and uninsured resulted in lower quality of patient care in hospitals in the United States. Multivariate regression indicated a significant relationship between higher levels of volume for poor/uninsured patients and lower performance on quality measures that will impact future payments. Thus, hospitals serving the poor/uninsured may lose future payments, putting these hospitals at financial risk.