Early Performance of Hospital Value-based Purchasing Program in Medicare

@article{Hong2020EarlyPO,
  title={Early Performance of Hospital Value-based Purchasing Program in Medicare},
  author={Young-Rock Hong and Oliver T. Nguyen and Sandhya Yadav and Emma Etzold and Jihee Song and R Paul Duncan and Kea Turner},
  journal={Medical Care},
  year={2020},
  volume={58},
  pages={734 - 743}
}
Supplemental Digital Content is available in the text. Background: Under the Affordable Care Act, the Centers for Medicare and Medicaid Services has greatly expanded inpatient fee-for-value programs including the Hospital Value-based Purchasing (HVBP) program. Existing evidence from the HVBP program is mixed. There is a need for a systematic review of the HVBP program to inform discussions on how to improve the program’s effectiveness. Objective: To review and summarize studies that evaluated… 
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References

SHOWING 1-10 OF 81 REFERENCES

Pay for Performance in the Hospital Setting: What Is the State of the Evidence?

TLDR
A systematic review of the literature examines the current state of knowledge about the effect of P4P on clinical process measures, patient outcomes and experience, safety, and resource utilization and concludes that there is a need for more systematic evaluation.

Joint Replacement Volume Positively Correlates With Improved Hospital Performance on Centers for Medicare and Medicaid Services Quality Metrics.

Hospital pay-for-performance programs in Maryland produced strong results, including reduced hospital-acquired conditions.

TLDR
The State of Maryland crafted two pay-for-performance programs applicable to all hospitals and payers-a Quality-Based Reimbursement Program similar to Medicare's value-based purchasing program and a separate program that compared hospitals' risk-adjusted relative performance on a broad array of hospital-acquired conditions.

The Financial Effect of Value-Based Purchasing and the Hospital Readmissions Reduction Program on Safety-Net Hospitals in 2014

TLDR
Whether these programs both individually and combined had a disproportionate financial effect on safety-net hospitals in FY 2014 is examined, both in terms of the probability of incurring a penalty and the magnitude of the penalty.

Resource Dependency and Hospital Performance in Hospital Value-Based Purchasing

TLDR
It would seem that hospitals do not have either the same ability or motivation to make changes in each of the value-based purchasing domains, but the findings indicate that environmental forces do play a role in hospitals’ performance in the HVBP program.

Value-Based Purchasing, Efficiency, and Hospital Performance

TLDR
Examination of the association of hospital efficiency hospital characteristics with the HVBP performance scores indicates that less efficient hospitals are more likely to have lower patient satisfaction scores and total performance scores compared with more efficient hospitals.

Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions.

TLDR
The authors report on VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by V BP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base.

Assessing Medicare's hospital pay-for-performance programs and whether they are achieving their goals.

TLDR
Three separate pay-for-performance programs affect the amount of Medicare payment for inpatient services to about 3,400 US hospitals, including overlap among measures and differences in scoring performance.

Medicare program; changes to the hospital inpatient prospective payment systems and fiscal year 2008 rates.

TLDR
This final rule with comment period describes the changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs and introduces a Medicare Severity DRG (MS DRG) classification system for the IPPS.

Physician-Owned Surgical Hospitals Outperform Other Hospitals in Medicare Value-Based Purchasing Program.

...