Financial Performance of Hospitals in the Mississippi Delta Region Under the Hospital Readmissions Reduction Program and Hospital Value-based Purchasing Program
Previous studies showed that the Hospital Readmissions Reduction Program (HRRP) and the Hospital Value-based Purchasing Program (HVBP) disproportionately penalized hospitals caring for the poor. The Mississippi Delta Region (Delta Region) is among the most socioeconomically disadvantaged areas in th...
Saved in:
Published in | Medical care Vol. 55; no. 11; p. 924 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.11.2017
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Previous studies showed that the Hospital Readmissions Reduction Program (HRRP) and the Hospital Value-based Purchasing Program (HVBP) disproportionately penalized hospitals caring for the poor. The Mississippi Delta Region (Delta Region) is among the most socioeconomically disadvantaged areas in the United States. The financial performance of hospitals in the Delta Region under both HRRP and HVBP remains unclear.
To compare the differences in financial performance under both HRRP and HVBP between hospitals in the Delta Region (Delta hospitals) and others in the nation (non-Delta hospitals).
We used a 7-year panel dataset and applied difference-in-difference models to examine operating and total margin between Delta and non-Delta hospitals in 3 time periods: preperiod (2008-2010); postperiod 1 (2011-2012); and postperiod 2 (2013-2014).
The Delta hospitals had a 0.89% and 4.24% reduction in operating margin in postperiods 1 and 2, respectively, whereas the non-Delta hospitals had 1.13% and 1% increases in operating margin in postperiods 1 and 2, respectively. The disparity in total margins also widened as Delta hospitals had a 1.98% increase in postperiod 1, but a 0.30% reduction in postperiod 2, whereas non-Delta hospitals had 1.27% and 2.28% increases in postperiods 1 and 2, respectively.
The gap in financial performance between Delta and non-Delta hospitals widened following the implementation of HRRP and HVBP. Policy makers should modify these 2 programs to ensure that resources are not moved from the communities that need them most. |
---|---|
AbstractList | Previous studies showed that the Hospital Readmissions Reduction Program (HRRP) and the Hospital Value-based Purchasing Program (HVBP) disproportionately penalized hospitals caring for the poor. The Mississippi Delta Region (Delta Region) is among the most socioeconomically disadvantaged areas in the United States. The financial performance of hospitals in the Delta Region under both HRRP and HVBP remains unclear.
To compare the differences in financial performance under both HRRP and HVBP between hospitals in the Delta Region (Delta hospitals) and others in the nation (non-Delta hospitals).
We used a 7-year panel dataset and applied difference-in-difference models to examine operating and total margin between Delta and non-Delta hospitals in 3 time periods: preperiod (2008-2010); postperiod 1 (2011-2012); and postperiod 2 (2013-2014).
The Delta hospitals had a 0.89% and 4.24% reduction in operating margin in postperiods 1 and 2, respectively, whereas the non-Delta hospitals had 1.13% and 1% increases in operating margin in postperiods 1 and 2, respectively. The disparity in total margins also widened as Delta hospitals had a 1.98% increase in postperiod 1, but a 0.30% reduction in postperiod 2, whereas non-Delta hospitals had 1.27% and 2.28% increases in postperiods 1 and 2, respectively.
The gap in financial performance between Delta and non-Delta hospitals widened following the implementation of HRRP and HVBP. Policy makers should modify these 2 programs to ensure that resources are not moved from the communities that need them most. |
Author | Wan, Fei Bird, T Mac Tilford, J Mick Karim, Saleema Nevola, Adrienne Morris, Michael E Chen, Hsueh-Fen |
Author_xml | – sequence: 1 givenname: Hsueh-Fen surname: Chen fullname: Chen, Hsueh-Fen organization: Departments of Health Policy and Management †Biostatistics, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR – sequence: 2 givenname: Saleema surname: Karim fullname: Karim, Saleema – sequence: 3 givenname: Fei surname: Wan fullname: Wan, Fei – sequence: 4 givenname: Adrienne surname: Nevola fullname: Nevola, Adrienne – sequence: 5 givenname: Michael E surname: Morris fullname: Morris, Michael E – sequence: 6 givenname: T Mac surname: Bird fullname: Bird, T Mac – sequence: 7 givenname: J Mick surname: Tilford fullname: Tilford, J Mick |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29028756$$D View this record in MEDLINE/PubMed |
BookMark | eNpNkNtKAzEQhoMo9qBvIJIX2JrDpptcSrVWaLEU623J5tBGdpMl2b3wbXxUt2rRYWD4-b_5GWYEzn3wBoAbjCYYieJutdxM0P_iiJ-BIWa0yLDI-QCMUnpHCBeUkUswIAIRXrDpEHzOnZdeOVnBtYk2xLpXBgYLFyE1rpVVgs7D9mDgyqV07KZx8MFUrYQbs3fBw63XJn4jp53ekbo-wsGnXuhOtUdyHcM-yhpKr__YN1l1JitlMhquu6gOMjm_P7FX4ML2R5jr3zkG2_nj62yRLV-enmf3y0xRVrSZUPlUoxJTozhCRBmmudVUI8WkFYqhYlpyi7GQkuUkpyXtHYVKS0gumGZkDG5_cpuurI3eNdHVMn7sTq8iX3Kgb6M |
CitedBy_id | crossref_primary_10_1111_jrh_12475 crossref_primary_10_3390_ijerph192114110 crossref_primary_10_1097_MLR_0000000000001648 crossref_primary_10_1002_14651858_CD011156_pub2 crossref_primary_10_3389_fpubh_2023_1147732 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1097/MLR.0000000000000808 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine Public Health |
EISSN | 1537-1948 |
ExternalDocumentID | 29028756 |
Genre | Evaluation Studies Journal Article |
GroupedDBID | --- -~X .-D ..I .3C .GJ .Z2 01R 0R~ 1J1 3R3 40H 4Q1 4Q2 4Q3 53G 5GY 5VS 71W 77Y 7O~ 8L- AAAAV AAAXR AAGIX AAHPQ AAIQE AAKYL AAMOA AAMTA AAQKA AAQQT AARTV AASCR AASOK AAWTL AAWTO AAXQO AAYEP ABASU ABBHK ABBUW ABDIG ABIVO ABJNI ABPPZ ABQDR ABVCZ ABXSQ ABXVJ ABZAD ACCJW ACDDN ACDIW ACEWG ACGFO ACGFS ACHQT ACILI ACLDA ACLED ACNWC ACWDW ACWRI ACXJB ACXNZ ADACV ADFPA ADGGA ADHPY ADNKB ADULT AE3 AE6 AEETU AELLO AENEX AEUPB AFDTB AFRAH AFUWQ AGINI AHMBA AHOMT AHQNM AHRYX AHVBC AIJEX AINUH AJIOK AJNWD AJNYG AJRGT AJZMW AKBRZ AKULP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AWKKM BHOJU BOYCO BQLVK BS7 C45 CGR CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GIFXF GNXGY GQDEL H0~ HGD HLJTE HVGLF HZ~ H~9 IH2 IKREB IKYAY IN~ IPNFZ IPSME JAA JAAYA JBMMH JBZCM JENOY JF9 JG8 JHFFW JK3 JK8 JKQEH JLEZI JLXEF JPL JSODD JST K8S KD2 KMI L-C L7B N4W N9A NPM N~7 N~B N~M O9- OAG OAH OCUKA ODA ODZKP OJAPA OL1 OLG OLH OLL OLU OLV OLW OLY OLZ OPUJH OPX ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OWBYB OWU OWV OWW OWX OWY OWZ OXXIT P-K P-O P2P PQQKQ QZG R58 RIG RLZ S4R S4S SA0 T8P TEORI TN5 TSPGW V2I VQP VVN W3M WH7 WOQ WOW X3V X3W XFW XXN XYM YCJ YFH YHZ YOC ZFV ZGI ZXP ZY1 ZZMQN |
ID | FETCH-LOGICAL-c357t-9c46d0b13ec8002ce5d8fd3d0c5af9c5076b8f119aa54243b30c5c0bf22495d52 |
IngestDate | Wed Oct 16 00:57:59 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 11 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c357t-9c46d0b13ec8002ce5d8fd3d0c5af9c5076b8f119aa54243b30c5c0bf22495d52 |
PMID | 29028756 |
ParticipantIDs | pubmed_primary_29028756 |
PublicationCentury | 2000 |
PublicationDate | 2017-11-01 |
PublicationDateYYYYMMDD | 2017-11-01 |
PublicationDate_xml | – month: 11 year: 2017 text: 2017-11-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Medical care |
PublicationTitleAlternate | Med Care |
PublicationYear | 2017 |
SSID | ssj0017352 |
Score | 2.3232002 |
Snippet | Previous studies showed that the Hospital Readmissions Reduction Program (HRRP) and the Hospital Value-based Purchasing Program (HVBP) disproportionately... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 924 |
SubjectTerms | Economics, Hospital - organization & administration Government Programs - methods Government Programs - statistics & numerical data Humans Mississippi Patient Readmission - economics Program Evaluation - economics United States Value-Based Purchasing - economics |
Title | Financial Performance of Hospitals in the Mississippi Delta Region Under the Hospital Readmissions Reduction Program and Hospital Value-based Purchasing Program |
URI | https://www.ncbi.nlm.nih.gov/pubmed/29028756 |
Volume | 55 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1faxQxEA_XCiKUUqu21irz4Jus7v_sPpbicVSvHKWVvpXdbIIHd9dDty9-Gr-HX64zmc1uaKuox7EcyWw4Mj9mksnML0K8RQ-cF-joqOwjCVIVZkEt6zgwBbo_g4DSkmqHp6f55CI9ucwuR6NfXtbSTVu_Vz8erCv5H61iG-qVqmT_QbP9oNiAv1G_-EQN4_OvdDzu6TJmXv4_hea720C-uzTGKc4vfdfrOZqYRVvhvNpMZHvvkRVx79i8-iUJUxbNGVG7WozMOJPLnjb0sl-qxY0OyBU272Z0r1RlYw-drL_ydSdClGo25BSw0Zug7r8G46Eq7RPu4JccsF5o7bkODteO9XwIYqN95dhw880mr_lxDPSNUR_H0M72YmPJxJvOODOHrwNh5Jnakmuv77kAphaefj5jakr3KSx9ROuhYr20sIiJv0Yyu_mfe-8Qc7uuDbEhCzKupxQo6g6wJC5sXaVmKT889HeIh7ob4s6exq5tznfEdrcpgSNG2FMx0qtd8XjapV3sii0O7gLXrD0TP3vggQc8uDbQAw_mK0BUgQc8sMADBh5Y4FkR9w74wIMeeNCBCRB4g6wHPBiA52Sfi4vxx_PjSdBd9RGoJJNtUKo0b8I6SrSiHYzSWVOYJmlClVWmVLhpyevCRFFZVVkap0mdYI8KaxPT3elNFr8Qm6vrld4XkKgkinNdFplKU61RNY3EQSudmkrqMnwp9niur9bM53LltHDw255X4skA2UPxyOA86te4Gm3rN1bvt-x_jMM |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Financial+Performance+of+Hospitals+in+the+Mississippi+Delta+Region+Under+the+Hospital+Readmissions+Reduction+Program+and+Hospital+Value-based+Purchasing+Program&rft.jtitle=Medical+care&rft.au=Chen%2C+Hsueh-Fen&rft.au=Karim%2C+Saleema&rft.au=Wan%2C+Fei&rft.au=Nevola%2C+Adrienne&rft.date=2017-11-01&rft.eissn=1537-1948&rft.volume=55&rft.issue=11&rft.spage=924&rft_id=info:doi/10.1097%2FMLR.0000000000000808&rft_id=info%3Apmid%2F29028756&rft_id=info%3Apmid%2F29028756&rft.externalDocID=29028756 |