Hospitals that mostly serve Black patients have worse mortality outcomes for both Black and White patients with three common conditions: heart attack, congestive heart failure or pneumonia.
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The new study in Health Services Research suggests that there is an urgent need to improve care at predominately black-serving institutions.
These findings matter greatly because of the ongoing value-based purchasing effort by the Centers for Medicare and Medicaid Services (CMS), explained lead author Lenny López, M.D., MPH, of the Mongan Institute for Health Policy Research at Massachusetts General Hospital. CMS will use several quality measures including hospital mortality rates to decide reimbursement. “This kind of pay-for-performance effort may lead to hospitals that need more resources to improve care for all of their patients actually losing resources,” he said.