Comparing Hospital Length of Stay Risk-Adjustment Models in US Value-Based Physician Payments.

ABSTRACT:

Backgroung and objectives

Under the Affordable Care Act, the US Centers for Medicare & Medicaid Services created the Physician Value-Based Payment Modifier Program and its successor, the Merit-Based Incentive Payment System, to tie physician payments to quality and cost. The addition of hospital length of stay (LOS) to these value-based physician payment models reflects its increasing importance as a metric of health care cost and efficiency and its association with adverse health outcomes. This study compared the Centers for Medicare & Medicaid Services-endorsed LOS risk-adjustment methodology with a novel methodology that accounts for pre-hospitalization clinical, socioeconomic status (SES), and admission-related factors as influential factors of hospital LOS.

Methods

Usin

SUBMITTER: Ghosh AK 

PROVIDER: S-EPMC9530068 | biostudies-literature | 2023 Jan-Mar 01

REPOSITORIES: biostudies-literature