Differences in Medicare Beneficiary Risk Scores by Physician’s International Medical Graduate Status
International medical graduates (IMGs) comprise nearly one-fourth of US practicing physicians and are more likely to practice primary care and in underserved regions.1, 2 Despite evidence on the quality of care provided by IMGs, limited data exists on whether populations served by IMGs have different medical complexity than those served by domestic graduates (DGs).3 Understanding differences in populations served by IMGs and DGs is important when assessing the potential impact of federal immigration policies on IMGs and the patients they serve. Therefore, we examined the relationship between physician IMG status and Medicare beneficiary medical complexity, among internal medicine (IM) physicians.
We performed a cross-sectional analysis of US physicians within Centers for Medicare & Medicaid Services (CMS) Physician Compare in 2015, which contains demographic and practice information for all healthcare providers participating in Medicare. Data included gender,...
Funding Source(s) Statement
No direct sources of funding were obtained for this manuscript. Dr. Wasfy reports a career development award from Harvard Catalyst and the National Institutes of Health (KL2 TR001100). Dr. Blumenthal reports research funding from the John S. LaDue Memorial Fellowship at Harvard Medical School.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 1.Association of American Medical Colleges. 2013. State Physician Workforce Data Book. https://www.aamc.org/download/362168/data/2013statephysicianworkforcedatabook.pdf. Accessed 30 April 2018.