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.
2021 Annual Survey Last Call!
24 hours remain to complete our survey. Make sure to complete your survey for a chance at one of 10 remaining $100 gift certificates. Our 2021 Annual Membership Survey is live, and it will remain [...]
DPC’s 2020 Annual Membership Survey is Live!
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Happy Holidays and DPC’s Top 10 Accomplishments of 2019
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DPC’s Letter to the California Assembly About Quality Ratings
Assembly Member Jim Wood Chair Committee on Health State Capitol, Room 6005 Sacramento, CA 95814 Assembly Member Chad Mayes Vice Chair Committee on Health State Capitol, Room 6005 Sacramento, CA 95814 [...]
CMS Announces Changes to Dialysis Facility Compare and Star Ratings
On October 28, 2016, the Centers for Medicare & Medicaid Services (CMS) added patient experience survey results and two new clinical quality measures as well as updated the way CMS calculates star ratings on its [...]
Archive of CMS Contractors’ Reports
Health Care Quality Measures and Transparency Pursuant to a Freedom of Information Act request filed by DPC in 2015, we present here a number of research reports from CMS contractors on health care quality [...]