When economist Jason Hockenberry looked at data comparing some of the financial issues facing different U.S. hospitals, he was surprised by what he saw.
Hockenberry was examining the effects of a recently introduced U.S. program that penalizes hospitals with relatively high rates of readmissions for certain conditions by reducing Medicare payments. Although Hockenberry expected hospitals that serve low-income and uninsured patients to have more readmissions (and therefore more penalties), he saw these so-called “safety-net hospitals” had been steadily improving their performance since the program began in 2012, and had faced fewer penalties over time.
The results were so striking, they ended up in JAMA on April 18, 2017. But within one week after publication, Hockenberry learned outside researchers had raised questions about the analysis.
The outside researchers thought the authors had incorrectly categorized some of the safety-net hospitals. After looking into their concerns, Hockenberry — based at Emory University in Atlanta — realized the analysis did contain errors that affect the findings. This week, he and his co-authors retracted the article, replacing it with a corrected version. The new paper still reports that the gap between the penalties faced by safety-net and non-safety-net hospitals is closing — but not for the reasons they initially thought.
Continue reading “A gut-wrenching experience:” Authors retract, replace JAMA paper