Government Regulatory Programs: Value-Based Purchasing

Added on Sep 15, 2015

Value-Based Purchasing

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 weightseach 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. 

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. As part of Press Ganey’s overall suite of solutions, our team helps providers stay abreast of regulatory initiatives to prepare for and success under Value Based Purchasing.

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 Purchasingand payment reform initiatives to help ensure that our clients have the information they need.