5 Star Ratings

Dialysis Patient Citizens (DPC) has taken the lead in seeking improvements to the Dialysis Facility Compare star rating system. Under the current methodology, all dialysis clinics across the U.S. are ranked against one another, with stars assigned by dividing the facilities into five tiers. Under this system, the bottom 10 percent are given one star, and those in the next twenty percent (11th percentile to 30th percentile) given two stars.

DPC objects to this methodology for several reasons.

First, a nationwide competition among all facilities that gives considerable weight to health outcomes (such as hospitalizations and mortality) disfavors facilities in places where, in general, patients are less healthy. Dialysis Facility Compare star ratings are most favorable to clinics in healthy states, such as Hawaii and Colorado, but unfavorable to clinics in places like West Virginia. This discourages investment in clinics in places that need them the most.

Second, consumers associate one- and two-star symbols with poor quality, such as bad movies or budget motels. CMS did not draw upon consumers’ existing experience with star ratings, instead substituting its own bell-curve system that stigmatizes providers who don’t deserve it.

Finally, most observers, including the Medicare Payment Advisory Commission, believe quality ratings should be based upon absolute standards, not tournaments among providers. DPC is committed to working with other kidney care stakeholders to develop an alternative system for assigning stars.

Related Information

DPC’s 2020 Annual Membership Survey is Live!

August 6th, 2020|Categories: 5-Star Ratings, Access to Transplant, Article, Care Coordination, Charitable Premium Assistance, Dental Coverage, Dialysis Funding, Get Involved, Immunosuppressive Drug Coverage, Innovation, Medicaid, Medicare Advantage, Medigap Coverage, Quality Incentive Program, Take Action, Transplant Donor Protection, Transportation Services, Treatment Options|Tags: |

Elevate the Voice of Patients with Kidney Disease and Their Caregivers Our 2020 Annual Membership Survey is live, and it will remain open until Friday, August 21. We are counting on your participation, as [...]

Happy Holidays and DPC’s Top 10 Accomplishments of 2019

December 20th, 2019|Categories: 5-Star Ratings, About DPC, Access to Transplant, Article, Care Coordination, Charitable Premium Assistance, Dental Coverage, Dialysis Funding, Immunosuppressive Drug Coverage, Innovation, Medicaid, Medicare Advantage, Medigap Coverage, Quality Incentive Program, Transplant Donor Protection, Transportation Services, Treatment Options|

Dialysis Patient Citizens wants to wish you and your family a Happy Holiday, as well as a safe and healthy New Year. Our offices will be closed for the holidays starting December 23 through January 1. [...]

More Related Information

Learn More About Increasing Quality of Care

hemodialysis room equipment

Dialysis Funding

Artificial kidney (dialysis) device with rotating pumps. Closeup view.

Quality Incentive Program

five stars/Health care concept

5 Star Ratings

Innovation