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CMS begins pay-for-performance at hospitals today

By , - Last modified: October 1, 2012 at 10:24 AM

The Centers for Medicare and Medicaid Services begin a pay-for-performance incentive program at general acute-care hospitals today.

Part of the Patient Protection and Affordable Care Act, the Hospital Inpatient Value-Based Purchasing Program is funded by reducing overall hospital Medicare reimbursements by 1 percent. Incentives totaling $850 million will be awarded based on 70 percent Clinical Process of Care and 30 percent Patient Experience of Care.

The Pennsylvania Health Care Quality Alliance said its analysis suggests that Pennsylvania hospitals are well positioned to succeed in the first year of the program.

Results from 2011 indicate that they showed improvement in all four areas of Clinical Process of Care — heart attack, heart failure, pneumonia and prevention of surgical infections — and scored better than the national average in 18 of 20 measures, PHCQA said.

On Patient Experience of Care measures, PHCQA said, Pennsylvania hospitals generally tracked closely to but did not exceed national measures.

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