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CMS extends pay-for-performance program

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Medicare
pay-for-performance
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hospital quality
heart failure
Centers for Medicare and Medicaid Services (CMS)

CMS has extended its pay-for-performance program for three more years, pleased with the results of the program's first two years of results. By CMS's measures, participating hospitals improved overall quality by 11.8 percent during the second year. In response, CMS paid out $8.7 million to the 115 hospitals that performed the best. The next three years of the program, the Premier Hospital Quality Incentive Demonstration, will test two new P4P models, one for hospitals that meet a given standard and one for hospitals that improve the most. The next-gen measures will focus on common conditions such as pneumonia, heart bypass, heart attack, heart failure and hip and knee replacement. As before, the extended program is being run as a partnership with Premier, a national organization of not-for-profit hospitals.

To get more background on the program:
- read this Modern Healthcare item (sub. req.)
- get CMS data from the first years of the program

Related Article:
Medicare P4P results show care improvements. Report
Positive results for Medicare P4P pilot. Report
Exclusive: How to make P4P work. Interview

Comments

I would like to know if any new hospitals will be added to the extended program - or will extension include only those currently in program

I can not find answer - if other hospitals can enroll, how do they go about it?

CMS equates quality improvement with compliance with quality measures.This may not be a valid conclusion.

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