Which Hospital Markets Had the Best 2013 Value-Based Purchasing Results?
regional analysis by Kaiser Health News.
The Value-Based Purchasing Program rolled out this fiscal year to reward or penalize hospitals for patient satisfaction results and care standards adherence by raising or lowering Medicare payments up to 1 percent. Individual hospitals' results can be searched by region on an interactive chart by KHN.
All seven D.C.-market hospitals were penalized an average of 0.33 percent of Medicare payments through September 2013. One Fort Wayne-area hospital took a hit, but the other 14 will average a 0.27 percent increase.
KHN analyzed 212 hospital referral regions with five or more hospitals and 92 smaller hospital regions for the report. Maryland has a separate payment agreement with CMS and didn't participate in the program; therefore it wasn't included in the analysis.
In 16 markets, every hospital received a bonus, and in 20 markets, every hospital received a penalty.
Large markets: The rest of the top 10 hospital regions with at least five hospitals after Fort Wayne are: Greenville, S.C; Newport News, Va.; Boise, Idaho; Florence, S.C.; Bangor, Maine; Grand Rapids, Mich.; Jackson, Tenn.; Portland, Maine; and Charleston, S.C.
The other low-performing regions with at least five hospitals besides D.C. are: Buffalo and the Bronx, N.Y.; Bakersfield, Calif.; Syracuse, N.Y.; Altoona, Penn.; Hartford, Conn.; Corpus Christi, Texas; Saginaw, Mich.; and Springfield, Mo.
Small markets: Three of the 92 markets with fewer than five hospitals beat out the large markets on average bonuses: Bloomington, Ill., Victoria, Texas, and Wilmington, N.C. On the other side of the coin, five small hospital markets will see greater penalties on average than any large market: Grand Forks and Minot, N.D.; Grand Bend and Salem, Ore.; and Oxford, Miss.
By state: Maine, Nebraska, South Dakota, Utah and South Carolina reaped the most rewards on average. The District of Columbia, Connecticut, New York, Wyoming and Delaware were slapped the hardest.
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