Abstract
Objective: To examine relationships between penalties assessed by Medicare's Hospital Readmission Reduction Program and Value-Based Purchasing Program and hospital financial condition. Data Sources/Study Setting: Centers for Medicare and Medicaid Services, American Hospital Association, and Area Health Resource File data for 4,824 hospital-year observations. Study Design: Bivariate and multivariate analysis of pooled cross-sectional data. Principal Findings: Safety net hospitals have significantly higher HRRP/VBP penalties, but, unlike nonsafety net hospitals, increases in their penalty rate did not significantly affect their total margins. Conclusions: Safety net hospitals appear to rely on nonpatient care revenues to offset higher penalties for the years studied. While reassuring, these funding streams are volatile and may not be able to compensate for cumulative losses over time.
| Original language | English |
|---|---|
| Pages (from-to) | 3495-3506 |
| Number of pages | 12 |
| Journal | Health Services Research |
| Volume | 53 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 2018 |
Bibliographical note
Funding Information:Joint Acknowledgment/Disclosure Statement: This research was supported by a grant from the Agency for Healthcare Research and Quality R01 HS023783, Teresa M. Waters, Principal Investigator, and Gloria J. Bazzoli and Michael P. Thompson, co-investigators. No other disclosures. Disclosures: None. Disclaimer: None.
Publisher Copyright:
© Health Research and Educational Trust
Keywords
- Hospitals
- financial performance
- payment policy
ASJC Scopus subject areas
- Health Policy
