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How nursing affects Medicare's outcome-based hospital payments
How nursing affects Medicare's outcome-based hospital payments
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Policy brief (Leonard Davis Institute of Health Economics)
- Author(s):
- Yakusheva, Olga, author
Lindrooth, Richard C., author
Weiner, Janet, author
Spetz, Joanne, author
Pauly, Mark V., author - Contributor(s):
- Interdisciplinary Nursing Quality Research Initiative, issuing body.
Leonard Davis Institute of Health Economics, issuing body.
Robert Wood Johnson Foundation, issuing body. - Publication:
- [Philadelphia, Pennsylvania] : Leonard Davis Institute of Health Economics, November 2015
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Cost-Benefit Analysis
Medicare -- economics
Nurses
Nurse's Role
Nursing Staff, Hospital -- economics
Outcome Assessment (Health Care)
Cross Infection -- economics
Health Care Costs
Health Care Reform -- legislation & jurisprudence
Patient Readmission -- economics
Patient Readmission -- legislation & jurisprudence
Quality Indicators, Health Care
Quality of Health Care
Reimbursement, Incentive
Value-Based Purchasing
Humans
United States
United States. - Genre(s):
- Technical Report
- Abstract:
- Improving value is one of the central aims of recent and ongoing health care reform. In our LDI/INQRI Brief last month, we reviewed the evidence of the role of nurses in increasing the value of health care. In this companion brief, we dig deeper into the three reimbursement strategies that Medicare uses to align hospital financial incentives with quality of care, and we calculate the potential effects of nursing-sensitive quality indicators on hospital payments. Three Medicare programs link hospital quality to payments. The Affordable Care Act (ACA) authorized Medicare to change the way it pays hospitals to reward high-quality, high-value care. Three programs now link Medicare reimbursement to the outcomes and costs of inpatient care: the Value-Based Purchasing (VBP) program, the Hospital-Acquired Conditions (HAC) Reduction Program, and the Hospital Readmissions Reduction Program (HRRP). Each adjusts Medicare payments according to how well hospitals perform on quality measures, and lays the foundation for increased provider accountability and greater value in hospital care.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (13 pages)).
- NLM Unique ID:
- 101679495 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101679495