The MHA recently partnered with DataGen to host two webinars focused on the three Medicare fee-for-service (FFS) quality-based programs. These programs, mandated by the Affordable Care Act of 2010, can reduce hospital inpatient FFS payments by up to 6% based on performance.
The Medicare value-based purchasing (VBP) program is funded by a 2% contribution from inpatient operating payments of eligible prospective payment system hospitals with these funds, totaling approximately $1.7 billion, redistributed among hospitals nationally. Each hospital’s total performance score is determined based on four program domains, comprised of various measures. Materials and the recording of the June 11 webinar are available.
The second webinar, focusing on the Hospital Readmissions Reduction Program (RRP) and Hospital-Acquired Conditions (HAC) Reduction Programs, was also held. The RRP evaluates Medicare FFS patients with six medical conditions and penalizes hospitals for exceeding expected readmission rates. The HAC program evaluates performance on six measures and penalizes hospitals in the worst performing quartile compared to all other eligible hospitals nationally. For these two programs, hospitals can remain whole or be subject to payment penalties of up to 3% for the RRP and 1% for the HAC program, with all penalties benefiting the Centers for Medicare & Medicaid Services. Materials and the recording from the June 17 webinar are also available.
The MHA recently provided prospective payment system hospitals with the latest VBP and HAC program estimates through the hospital association reporting portal.
Members with questions should contact Vickie Kunz at the MHA.