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Hospital value-based purchasing.
J Hosp Med. 2013 May; 8(5):271-7.JH

Abstract

Hospital Value Based Purchasing (VBP) aims to incentivize inpatient providers to delivery high value, as opposed to high volume, health care. The formal mandate of hospitals to provide high value health care through financial incentives marks an important change in Medicare and Medicaid policy. In this opportune review of VBP, we discuss the relevant historical changes in the reimbursement environment of U.S. hospitals that have set the stage for VBP. We describe the structure of the Centers for Medicare and Medicaid Services' VBP program, with a focus on which hospitals are eligible to participate in the program, the specific outcomes measured and incentivized, how rewards and penalties are allocated, and how the program will be funded. In an effort to anticipate some of the issues that lie ahead, we then highlight a number of potential challenges to the success of VBP, and discuss how VBP will impact the delivery and reimbursement of inpatient care services. We conclude by examining how the VBP program is likely to evolve over time.

Authors+Show Affiliations

Department of Medicine, Massachusetts General Hospital, Boston, MA 02115, USA. jena@hcp.med.harvard.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23589485

Citation

Blumenthal, Daniel, and Anupam B. Jena. "Hospital Value-based Purchasing." Journal of Hospital Medicine, vol. 8, no. 5, 2013, pp. 271-7.
Blumenthal D, Jena AB. Hospital value-based purchasing. J Hosp Med. 2013;8(5):271-7.
Blumenthal, D., & Jena, A. B. (2013). Hospital value-based purchasing. Journal of Hospital Medicine, 8(5), 271-7. https://doi.org/10.1002/jhm.2045
Blumenthal D, Jena AB. Hospital Value-based Purchasing. J Hosp Med. 2013;8(5):271-7. PubMed PMID: 23589485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospital value-based purchasing. AU - Blumenthal,Daniel, AU - Jena,Anupam B, Y1 - 2013/04/16/ PY - 2013/01/21/received PY - 2013/03/04/revised PY - 2013/03/08/accepted PY - 2013/4/17/entrez PY - 2013/4/17/pubmed PY - 2014/2/12/medline SP - 271 EP - 7 JF - Journal of hospital medicine JO - J Hosp Med VL - 8 IS - 5 N2 - Hospital Value Based Purchasing (VBP) aims to incentivize inpatient providers to delivery high value, as opposed to high volume, health care. The formal mandate of hospitals to provide high value health care through financial incentives marks an important change in Medicare and Medicaid policy. In this opportune review of VBP, we discuss the relevant historical changes in the reimbursement environment of U.S. hospitals that have set the stage for VBP. We describe the structure of the Centers for Medicare and Medicaid Services' VBP program, with a focus on which hospitals are eligible to participate in the program, the specific outcomes measured and incentivized, how rewards and penalties are allocated, and how the program will be funded. In an effort to anticipate some of the issues that lie ahead, we then highlight a number of potential challenges to the success of VBP, and discuss how VBP will impact the delivery and reimbursement of inpatient care services. We conclude by examining how the VBP program is likely to evolve over time. SN - 1553-5606 UR - https://www.unboundmedicine.com/medline/citation/23589485/Hospital_value_based_purchasing_ L2 - https://doi.org/10.1002/jhm.2045 DB - PRIME DP - Unbound Medicine ER -