Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

ABSTRACT:

Background

Three major hospital pay for performance (P4P) programs were introduced by the Affordable Care Act and intended to improve the quality, safety and efficiency of care provided to Medicare beneficiaries. The financial risk to hospitals associated with Medicare's P4P programs is substantial. Evidence on the positive impact of these programs, however, has been mixed, and no study has assessed their combined impact. In this study, we examined the combined impact of Medicare's P4P programs on clinical areas and populations targeted by the programs, as well as those outside their focus.

Methods

We used 2007-2016 Healthcare Cost and Utilization Project State Inpatient Databases for 14 states to identify hospital-level inpatient quality indicators (IQIs) and patient safety

SUBMITTER: Waters TM 

PROVIDER: S-EPMC9330620 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature