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VBP and hospital quality reporting

April 2, 2012

Medicare’s largest value-based purchasing (VBP) demonstration for hospitals, the Premier Hospital Quality Incentive Demonstration, did not reduce 30-day mortality more than hospital quality reporting alone, said a March 28 study in the New England Journal of Medicine.

Researchers examined 30-day mortality among more than 6 million patients treated for heart attack, congestive heart failure, pneumonia, or coronary-artery bypass grafting between 2003 and 2009.

They “found no differences in trends in mortality between conditions for which outcomes were explicitly linked to incentives and conditions for which outcomes were not linked to incentives.” “The Patient Protection and Affordable Care Act” establishes a VBP program to pay hospitals for their actual performance on quality measures, rather than just the reporting of those measures, beginning this October. For more, go to
www.nejm.org and click on Special Article: “Effect of Premier Pay for Performance on Patient Outcomes.”