Safety-net hospitals more likely than other hospitals to fare poorly under Medicare's value-based purchasing
| Autor: | Jason M. Hockenberry, E. Kathleen Adams, Arnold Milstein, Edmund R. Becker, Ira B. Wilson, Matlin Gilman |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Value-Based Purchasing Databases Factual Quality Assurance Health Care media_common.quotation_subject Safety net Myocardial Infarction Medicare Risk Assessment Patient experience Medicine Humans Hospital Mortality Disadvantage media_common Retrospective Studies Heart Failure Chi-Square Distribution business.industry Health Policy Pneumonia Payment Financial Management Hospital Purchasing Hospitals United States Emergency medicine business Safety-net Providers Health reform |
| Zdroj: | Health affairs (Project Hope). 34(3) |
| ISSN: | 1544-5208 |
| Popis: | Medicare's value-based purchasing (VBP) program potentially puts safety-net hospitals at a financial disadvantage compared to other hospitals. In 2014, the second year of the program, patient mortality measures were added to the VBP program's algorithm for assigning penalties and rewards. We examined whether the inclusion of mortality measures in the second year of the program had a disproportionate impact on safety-net hospitals nationally. We found that safety-net hospitals were more likely than other hospitals to be penalized under the VBP program as a result of their poorer performance on process and patient experience scores. In 2014, 63 percent of safety-net hospitals versus 51 percent of all other sample hospitals received payment rate reductions under the program. However, safety-net hospitals' performance on mortality measures was comparable to that of other hospitals, with an average VBP survival score of thirty-two versus thirty-one among other hospitals. Although safety-net hospitals are still more likely than other hospitals to fare poorly under the VBP program, increasing the weight given to mortality in the VBP payment algorithm would reduce this disadvantage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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