G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w22371
来源IDWorking Paper 22371
Moneyball in Medicare
Edward C. Norton; Jun Li; Anup Das; Lena M. Chen
发表日期2016-06-27
出版年2016
语种英语
摘要US policymakers place a high priority on tying Medicare payments to the value of care delivered. A critical part of this effort is the Hospital Value-based Purchasing Program (HVBP), which rewards or penalizes hospitals based on their quality and episode-based costs of care. Within HVBP, each patient affects hospital performance on a variety of quality and spending measures, and performance translates directly to changes in program points and ultimately dollars. In short, hospital revenue from a patient consists not only of the DRG payment, but also consists of that patient’s marginal future reimbursement. We estimate the magnitude of the marginal future reimbursement for individual patients across each type of quality and performance measure. We describe how those incentives differ across hospitals, including integrated and safety-net hospitals. We find some evidence that hospitals improved their performance over time in the areas where they have the highest marginal incentives to improve care.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w22371
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/580044
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GB/T 7714
Edward C. Norton,Jun Li,Anup Das,et al. Moneyball in Medicare. 2016.
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