Medicare Beneficiaries' Perspectives on the Quality of Hospital Care and Their Implications for Value-Based Payment.

ABSTRACT:

Importance

Medicare's Hospital Value-Based Purchasing (HVBP) program adjusts hospital payments according to performance on 4 equally weighted quality domains: clinical outcomes, safety, patient experience, and efficiency. The assumption that performance on each domain is equally important may not reflect the preferences of Medicare beneficiaries.

Objective

To estimate the relative importance (ie, weight) of the 4 quality domains in the HVBP program from the perspective of Medicare beneficiaries and the impact of using beneficiary value weights on incentive payments for hospitals enrolled in fiscal year 2019.

Design, setting, and participants

An online survey was conducted in March 2022. A nationally representative sample of Medicare beneficiaries was recruited through

SUBMITTER: Trenaman L 

PROVIDER: S-EPMC10285577 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature