Value-based Purchasing: Stay Ahead of Regulatory Changes

In fiscal year 2013, the Centers for Medicare & Medicaid (CMS) began withholding a portion of hospitals’ payments based on their performance. CMS makes adjustments to measures and domain weights each year to reflect an emphasis on those areas most in need of improved performance. There are four domains that will impact up to 2% of a hospital’s Medicare reimbursement in FFY 2017: process of care (core measures), patient experience (HCAHPS), efficiency of care, and outcomes. A summary of the current VBP domain weights, baseline periods and performance periods can be found in the resources sections below. 
 
In addition to value-based purchasing, the Affordable Care Act authorizes CMS to reduce payments based on other factors such as readmission rates and hospital-acquired conditions. Hospitals could witness substantial losses if they fail to keep abreast of the increasingly stringent regulatory initiatives.

Partner with VBP Experts

Given the complexity of calculations and the continuing refinement of the legislation, it’s important to work with a partner who is paying close attention to the details and methodology. Press Ganey experts and consultants specialize in Value-Based Purchasing and payment reform initiatives to help ensure that our clients have the information they need. 

    Value-Based Purchasing Resources

    Current VBP Program Domain Weights and Dates
    Five Strategies for Success under Payment Reform
    Solving the Larger Payment Puzzle
    The Rising Tide Measure-Communication with Nurses
    The Relationship between HCAHPS Performance and Readmission Penalties
    Value-Based Purchasing Calculator

    Value-Based Purchasing Program Overview



    2014 Strategic Insights