30% of Dialysis Centers to Receive Lower Payments Under Value-Based Purchasing

Under CMS‘ value-based purchasing program for dialysis facilities, 70 percent of dialysis facilities evaluated in the program will receive no payment reduction in payment year 2012, while the remaining 30 percent will receive reductions ranging from 0.5-2.0 percent, depending on their final performance scores.

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The ESRD Quality Incentive Program enables CMS to pay dialysis facilities based on the quality of care provided to Medicare patients with end-stage renal disease, rather than on the amount of care provided. For the payment year 2012, CMS assessed a facility’s performance based on three quality measures: two measures of anemia management and one of dialysis adequacy.

For the payment year 2012, 4,939 facilities were assessed and received a total performance score, which determines whether a facility will see a payment reduction. Of these facilities, more than two-thirds (69.1 percent) will receive no payment reduction as a result of achieving a high enough total performance score.

Each dialysis facility is required to post a certificate displaying its performance in a prominent location accessible to the public. In addition, performance information will be posted on the Dialysis Facility Compare website.

Related Articles on Value-Based Purchasing:

Making the Grade: Self-Service Strategies for Improving the Patient Experience
The Care Management Imperative
Patient Experience: Hospitals Executives Focus on Service at Regional Roundtable

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