Hospital Quality and Hospital Value-Based Purchasing

To the Editor: Ryan and colleagues (June 15 issue) 1 conclude that the Hospital Value-Based Purchasing (HVBP) program of the Centers for Medicare and Medicaid Services (CMS) was generally not associated with improvements in the quality measures that they studied. Although we appreciate the evaluatio...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 377; no. 15; pp. 1500 - 1502
Main Authors Long, Theodore, Poyer, James, Yong, Pierre L, Schumacher, Dale, Dietz, Mark, Ryan, Andrew M, Dimick, Justin B
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 12.10.2017
Subjects
Hospitals
Humans
Medicare
Purchasing, Hospital
United States
Value-Based Purchasing
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Summary:To the Editor: Ryan and colleagues (June 15 issue) 1 conclude that the Hospital Value-Based Purchasing (HVBP) program of the Centers for Medicare and Medicaid Services (CMS) was generally not associated with improvements in the quality measures that they studied. Although we appreciate the evaluation of HVBP, the difference-in-differences analysis lacks validity because Critical Access Hospitals are not an appropriate control group. Critical Access Hospitals have systematic differences, and they transfer a far higher percentage of patients (29%) than non–Critical Access Hospitals (11%), with the result that non–Critical Access Hospitals treat more patients with complex conditions. 2 In addition, the authors note . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc1709131