Evaluating the robustness of the CMS Hospital Value-Based Purchasing measurement system.

ABSTRACT:

Background

The Hospital Value-Based Purchasing Program (HVBP) is a pay for performance system that impacts traditional Medicare fee-for-service payments to hospitals through rewards and penalties.

Objectives

To explore variation in overall and individual-hospital total performance score (TPS) and embedded domains for hospitals during 2014-2018.

Data source

Hospital data were retrieved from the publicly available HOSArchive dataset.

Study design

Distribution of annual TPS and HVBP domain scores for 2014-2018 was evaluated using descriptive statistics. Transitional probabilities were analyzed to evaluate annual movement in the TPS ranking for outlier hospitals in the Top and Bottom 5%.

Principal findings

TPS scores are positively skewed while the distribut

SUBMITTER: Revere L 

PROVIDER: S-EPMC8143689 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature