CMS published a final rule to implement a new hospital value-based purchasing program under which hospitals that meet or exceed certain quality measures relating to clinical process of care and patient experience of care would be rewarded incenctives beginning in FY13.
Fact Sheet | Medicare Payment and Reimbursement
Hospital Inpatient Value-Based Purchasing Program Final Rule Fact Sheet
The value-based purchasing (VBP) program will provide fiscal year incentive payments to PPS acute care hospitals that meet or exceed certain quality measures relating to clinical process of care and patient experience of care.
- Hospitals will be eligible to receive these incentive payments beginning in FY13 for discharges occurring on or after October 1, 2012.
- The performance period will include the fourth quarter of FY11 (July 1, 2011-September 30, 2011) and the first and second quarters of 2012 (October 1, 2011-March 31, 2012).
- CMS is adopting 12 measures for the FY13 hospital VBP measure set, and eight patient experience of care measures from the HCAHPS survey.
- Scores for clinical process of care measures will be based on both achievement and improvement of process of care metrics, while scores for the HCAHPS patient experience of care measures will based on achievement, improvement, and consistency of the metrics.