title: Do bad report cards have consequences? Impacts of publicly reported provider quality information on the CABG market in Pennsylvania.
abstract: Since 1992, the Pennsylvania Health Care Cost Containment Council (PHC4) has published cardiac care report cards for coronary artery bypass graft (CABG) surgery providers. We examine the impact of CABG report cards on a provider's aggregate volume and volume by patient severity and then employ a mixed logit model to investigate the matching between patients and providers. We find a reduction in volume of poor performing and unrated surgeons' volume but no effect on more highly rated surgeons or hospitals of any rating. We also find that the probability that patients, regardless of severity of illness, receive CABG surgery from low-performing surgeons is significantly lower.
authors.affiliation: School of Business, Worcester Polytechnic Institute, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Wang
authors.forename: Jason
authors.initials: J
authors.lastname: Hockenberry
authors.forename: Shin-Yi
authors.initials: SY
authors.lastname: Chou
authors.forename: Muzhe
authors.initials: M
authors.lastname: Yang
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D001026:Coronary Artery Bypass / Q000191:economics / Q000592:standards*; D019981:Health Care Sector; D017052:Hospital Mortality; D006801:Humans; D007255:Information Services; D016015:Logistic Models; D010414:Pennsylvania; D011787:Quality of Health Care; D013503:Surgery Department, Hospital / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data