Wednesday, July 30, 2014

Hospitals pay to use U.S. News 'Best Hospitals' logo

The same skepticism about motive applies to Health grades.Healthgrades They portray themselves as the ultimate arbiter of hospital and physician quality but they are just out to sell hospitals the right to proclaim themselves a Healthgrades champion and and to sell ad clicks on their physician rating pages, while providing out of date information from public databases.

Children's Mercy Hospitals and Clinics pays $42,000 a year to use the logo, 

No, hospitals do not pay to be ranked in the U.S. Best Hospitals annual ranking, But some organizations won't reveal how much they spend

U.S. News releases 2014-15 Best Hospitals rankings

This edition of RANKINGS marks the first time the publication assembled the list using a new methodology, according to U.S. News. Not only did the publication double the weight of patient safety in 12 specialties from 5 to 10 percent of the hospital's overall score, it reduced the weight of hospital reputation for those specialties from 32.5 to 27.5 percent.
U.S. News credits the methodology change to increased public reporting of "rigorously studied" hospital quality measures. A study released earlier this year criticized what it called U.S. News' out sized emphasis on hospital reputations in its previous methodology, noting a weak correlation between hospital prices and reputations, and patient outcomes.

The top 10 hospitals on this year's Honor Roll were:
  1. Mayo Clinic in Rochester, Minnesota
  2. Massachusetts General Hospital in Boston
  3. Johns Hopkins Hospital in Baltimore
  4. Cleveland Clinic
  5. UCLA Medical Center in Los Angeles
  6. New York-Presbyterian University Hospital of Columbia and Cornell in New York City
  7. Hospitals of the University of Pennsylvania-Penn Presbyterian in Philadelphia
  8. UCSF Medical Center in San Francisco
  9. Brigham and Women's Hospital in Boston
  10. Northwestern Memorial Hospital in Chicago

Big name, expensive hospitals don't necessarily provide best care

Hospitals' reputations and prices have little bearing on their care quality, according to a new study published in Health Affairs.
For the study, researchers analyzed almost 25,000 insurance claims from current and retired autoworkers in 10 metropolitan areas: Cleveland; Detroit; Indianapolis; Kansas City; St. Louis; Flint, Mich.; Warren, Mich.; Toledo, Ohio; Youngstown, Ohio and Buffalo, N.Y. The workers visited 110 hospitals, divided into three categories:
  • Thirty "low-price" hospitals, where prices were at least 10 percent below average;
  • Fifty "medium-price" hospitals, which were not defined in the study; and 
  • Thirty "high-price" hospitals, where prices were 10 percent or more above average.
High-priced hospitals were twice the size of low-priced ones, and had three times their market share, according to the researchers, led by Chapin White of the RAND Corporation. The expensive hospitals were also much more likely to be included inU.S. News & World Report's national hospital rankings. Twenty-five percent of high-priced hospitals appeared in the U.S. News rankings, while none of the low-priced ones appeared on any of the publication's lists, according to the study


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