Valuing Improvement in Value-Based Purchasing | Zendy

William B. Borden | Zendy; Jan Blustein | Zendy

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Valuing Improvement in Value-Based Purchasing

Author(s) -

William B. Borden,

Jan Blustein

Publication year - 2012

Publication title -

circulation cardiovascular quality and outcomes

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.692

H-Index - 87

eISSN - 1941-7705

pISSN - 1941-7713

DOI - 10.1161/circoutcomes.111.962811

Subject(s) - disadvantaged , medicine , payment , socioeconomic status , graduation (instrument) , disadvantage , medicaid , actuarial science , poverty , unemployment , economic shortage , demography , economics , finance , environmental health , economic growth , political science , population , health care , government (linguistics) , geometry , mathematics , sociology , law , linguistics , philosophy

Medicare will soon implement hospital value-based purchasing (VBP) using a scoring system that rewards both achievement (absolute performance) and improvement (performance increase over time). However, improvement is defined so as to give less credit to initial low performers than initial high performers. Because initial low performers are disproportionately hospitals in socioeconomically disadvantaged areas, these institutions stand to lose under Medicare's VBP proposal.

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